EIU Civil Service Council Scholarship Application

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

Name Name * First Last
E-Number *
Address (Local) 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) 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 the Fall semester? *
What is your cumulative GPA? (Please record in X.XX format,for example 3.05, etc.) *
Is the above reported GPA on a 4.0 or 5.0 scale? *

Is the above reported GPA on a 4.0 or 5.0 scale? 4.0 5.0
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: 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: 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: (Estmate) If you are a child/grandchild of a current/former/retired non-negotiated civil service employee, when were they employed from: (Estmate) / 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") *
BRIEF ESSAY: In 400 words or less 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: In 150 words or less discuss your 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. *

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. *

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: