Distinguished Senior Award Application 2025

To submit an application, please complete this form by Friday, March 21, 2025.

Student's Name Student's Name Title First Last Suffix
Student's E-Number
Student’s Campus Address Student’s Campus Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Student’s Phone Number Student’s Phone Number - ### - ### ####
Student’s EIU Email Address
Student’s Major
Student’s Minor
Number of Academic Hours Completed at EIU
Cumulative Grade Point Average
Student’s Expected Graduation Date

Student’s Expected Graduation Date Spring 2025 Summer 2025 Fall 2025
Student’s Hometown Newspaper
List student's campus organizations and activities

Be sure to include dates of involvement and any leadership positions held.
List student's participation in organizations and activities outside the campus community while attending EIU

Be sure to include dates of involvement and any leadership positions held.
List of honors and/or awards student received while attending EIU.
Describe why you believe you should be considered for the Distinguished Senior Award.