Carol Specht Memorial Monetary Award

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.

This fund was established by Constance Specht and Margo Christian in memory

of their mother who founded the Coles County Coalition Against Domestic

Violence and was active in the Coles County League of Women Voters. Carol

Specht was murdered by an intruder in Mattoon some years ago.

Please contact the Office of Civil Rights and Diversity for more information at

217-581-5020.

2007 applications are due by 5:00 p.m., November 26, 2007.

Carol Specht Memorial Monetary Award Application

Please complete and return to the Civil Rights Office, Eastern Illinois University, 1011 Old Main, Charleston, Illinois, 61920.

Part I -- APPLICANT INFORMATION: (This material may be used for news releases and public announcements as well as by the Award Committee.)

Your Name: ________________________________ Social Security No: _________________

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):

_____________________________________________________________________________

In which undergraduate program are you currently enrolled:

_____________________________________________________________________________

Please state your academic major(s): ______________________________________________________

Semester and year you wish to complete your undergraduate work: _____________________________

Semester hours of credit before graduation you had completed by the end of the preceding semester:

_____________________________________________________________________________

Your grade point average as of the end of the preceding semester: _____________________________

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 indicate here your financial need for this award.

_____________________________________________________________________________

PART IV-- WRITTEN STATEMENTS: In 150 to 200 words, explain your career goals after

leaving Eastern. (Use additional sheet if needed.)