BROMMEL MENDELSON-HENINGTON Northeastern Illinois University Foundation SCHOLARSHIP IN BACHELOR OF ARTS IN INTERDISCIPLINARY STUDIES OR UNIVERSITY WITHOUT WALLS PROGRAMS 5500 North St. Louis Avenue Chicago, Illinois 60625-4699 SCHOLARSHIP APPLICATION _________________________________________________________________________________________________________________________ Application Due Date: June 1, 2016 Application Date _____________________ Please print A. Name _______________________________________ Student ID# ______________ Address ________________________________________________________________ City ___________________________ State _________________ Zip ___________ Telephone ( ) _____________________ E-mail address ____________________ B. Major ______________________________ 2nd Major _____________________________ Minor __________________________ Cumulative NEIU G.P.A. __________ Number of hours completed __________ Anticipated hours for Fall 2016 enrollment __________ Do you have two or more semesters remaining until graduation? ___ yes ___ no If yes, please explain how many and when you plan to graduate. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ C. Have you applied for financial aid? ___ yes ___ no Are you enrolled in the Honors Program? ___ yes ___ no Have you ever participated in the Annual Student Symposium? ___ yes ___ no D. Applicant signature ___________________________________ Attached is my 2 to 3-page essay describing my aspirations after graduation and how my experience at NEIU has changed my life. ______ Send to: Nontraditional Degree Programs Suite B-147 Northeastern Illinois University 5500 N. St. Louis Ave. Chicago, IL 60625 NDP@neiu.edu 773-442-6030