Carol Specht
Memorial Monetary Award
The Carol Specht Memorial
Award is given to an undergraduate female student
who is the single parent of at least one child living in
her home. The guidelines of
the award stipulate that the recipient must be majoring
in a "helping discipline."
The applicant's financial need, academic record, and
participation in community
service activities are also considered.
and
Diversity for more information at
This fund was established by Constance Specht and Margo Christian in memory
of their mother, who worked with the Coles County Women Against Rape and the
Coles County Coalition
Against Domestic
Coles County League of
Women Voters. Carol Specht was murdered by an
intruder in
2011 applications are due by
4:30 p.m., October 18, 2011.
Carol Specht
Memorial Monetary Award Application
Please complete and return to the Civil Rights
Office,
Part I -- APPLICANT INFORMATION:
(This material may be used for news releases and public announcements as well
as by the Award Committee.)
Your Name:
______________________________________ E-Number___________________________
(Local) CharlestonAddress: _____________________________________________________________
Email Address: ______________________________________________________________________
Telephone: (______)
______________________
High School(s) Attended:
______________________________________________________________
Hometown:____________________________________
Marital Status: _________________
Names and ages of children living in
your home:
_____________________________________________________________________________
_____________________________________________________________________________
Your parent(s) name and address(es) (to be used for news
releases):
_____________________________________________________________________________
_____________________________________________________________________________
IUndergraduate program in which
you are currently enrolled:
_____________________________________________________________________________
Please state your academic major(s):
______________________________________________
Semester hours of credit completed by the end of the preceding semester:
_____________________________________________________________________________
Your grade point average at the
end of the preceding semester: _____________________________
Enclose your academic transcript which can be found and printed through PAWS.
List positions of responsibility
(such as offices in campus organizations) you have held while being a student
at EIU. (Use additional sheets if needed)
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
List any organizations or activities
in which you have participated as a college student, including fraternities or
sororities, honorary fraternities, clubs, societies, intercollegiate athletics,
etc.:
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
List your work experiences while a
student at Eastern (if summer, so designate):
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
PART II -- References: (List the names
of two faculty members and their departments)
1. ______________________________
_________________________________
2. ______________________________
_________________________________
PART III -- FINANCIAL NEED: Please
describe your financial need for this award in an attached statement.
In addition to this statement, we will be reviewing individual need through information obtained from EIU Financial Aid Office.
PART IV-- WRITTEN STATEMENTS: In 150 to 200 words, explain your career goals after
leaving Eastern. Relate your narrative to the criteria of this award.
"helping" members of the community. (Use additional sheet if needed.)