MARTIN LUTHER KING, JR., SCHOLARSHIP Nomination Form Applications are due before the close of business on March 23, 2012, to the Office of the Provost and Vice President for Academic Affairs, Old Main 1020. Nominee _________________________ E# ________________________ Address _________________________ Phone ________________________ _________________________ Zip Code __________________ Please attach documentation to nomination form. Scholarship Criteria The scholarship award recipient shall be duly enrolled for the Spring 2012 semester and in good academic standing at Eastern Illinois University. Applicants must have at least a 2.75 grade point average and have junior or senior standing. Recipient must be an Eastern student at the time the check is issued. The recipient must, in thought and deed, be a living example of the ideals and values expressed by Dr. Martin Luther King, Jr. Documentation such as essay or letter of support (please attach to application) should be provided for recipient as to how their life mirrors the ideals of Dr. King, e.g., service to one’s fellow humans, without reference to gender, race or national origin and/or how their activities make the world around them a better environment. Name of scholarship recipient will be announced prior to Spring 2012 commencement. The award shall be payable in Spring 2012. Submitted by: _______________________________ Date: _____________________________________