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EIU Civil Service Council Scholarship Application

This scholarship is awarded in the Spring and paid in the Fall Semester.

Name * First Last
E-Number *
Address (Local) *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone number you can be contacted at (Local or Cell) * - (###) - ### ####
Email *
Academic Rank *
Are you enrolled at EIU for the Fall Semester? *
How many credit hours are you taking during this semester the Fall semester? *
What is your cumulative GPA? (Please record in X.XX format,for example 3.05, etc.) *
If you are a senior in high school senior or transfer student, accepted to EIU at the time of the application, what school are you currently attending? (If not applicable type "NA") *
If you are an incoming High School Senior, what is your class rank: (If not applicable type "NA") *
Are you a current/former/retired non-negotiated civil service employee? *
If you are a current/former/retired Non-Negotiated Civil Service Employee, please complete this section:
If you are a current/former/retired Non-Negotiated Civil Service Employee, what is/was your most recent position?
If you are a current/former/retired Non-Negotiated Civil Service Employee, what department were you employed with?
If you are a current/former/retired Non-Negotiated Civil Service Employee, employed from: / MM / DD YYYY
If you are a current/former/retired Non-Negotiated Civil Service Employee, employed to: / MM / DD YYYY
If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, please complete the following section:
If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, name of current/former/retired employee: (If not applicable type "NA")
If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, please complete the following section, position of current/former/retired employee: (If not applicable type "NA")
If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, when were they employed from: (Estimate) / MM / DD YYYY
If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, when were they employed to: (Estimate) / MM / DD YYYY
If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, What is your relationship to this employee: (If not applicable type "NA") *
BREIF ESSAY: In a brief essay discuss the following: 1) intended major, 2) educational plans, 3) what/who influenced your decision to attend EIU; and 4) academic achievements, extracurricular activities and community involvement experiences you have had? (You will be evaluated on content, sentence structure, grammar, spelling and punctuation.) *
FINANCIAL IMPACT STATEMENT: Please discuss you financial need and why you are applying for the scholarship? If you are not receiving any assistance, please write "Not Applicable." (This question will be used as a determining factor when all other criteria are equal.) *
I declare that the information reported on this form is true, correct and complete. * Yes
Please type your name indicating that you have read the above declaration. *

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EIU Civil Service Council Scholarship Application

EIU Civil Service Council Scholarship Application

If you are a current/former/retired Non-Negotiated Civil Service Employee, please complete this section:

If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, please complete the following section: