CLASS OF 1941 MEMORIAL EXCELLENCE AWARD - UIUC



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CLASS OF 1941 MEMORIAL EXCELLENCE SCHOLARSHIP

Scholarship Application

The Class of 1941 Memorial Excellence Scholarship recognizes at least one man and one woman from the junior class who has excelled academically, and has volunteered as leaders of extracurricular activities sanctioned by the University. The deadline for the Class of 1941 Memorial Excellence Scholarship is May 16, 2014. To receive full consideration your application must be postmarked or received in the Office of Student Financial Aid by this date.

|Student Name: | |

| | Last First |

| |MI |

|UIN: | | | College/Major: | |

| | |

| | |

|Permanent Address: | |

| Street City State |

|Zip |

|Telephone: ( ) Email: |

Please complete a short essay to address the topics listed below. Resumes or additional sheets may be attached.

• Leadership experiences in University organizations. Include titles of the activities, hours worked per week, academic semester and year, and how students benefited from your contribution

• Honors and scholarships

• Employment history

• Any additional information that supports your consideration for this award

I certify that, to the best of my knowledge, the above information is correct.  I understand that withholding requested information or giving false information will make me ineligible for this scholarship.  I also agree and understand that my signature authorizes the University of Illinois at Urbana-Champaign to release relevant financial and academic information to donors, the University of Illinois Foundation and other authorized University officials.  If selected as a scholarship recipient, I understand that financial and academic information may be reported annually.

Applicant’s Signature _____________________________________ Date ___________________________

Fax this application and non-returnable photocopies of all supporting documents to 217-265-5516

Or mail to:

Office of Student Financial Aid

University of Illinois at Urbana-Champaign

Class of 1941 Memorial Excellence Scholarship

Student Services Arcade Building

620 East John Street, MC-303

Champaign, Illinois 61820

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