Fill out the form below and press ‘Send Profile’ to submit the form.
Phone Number (555-555-5555)
Birth Date (mm/dd/yyyy)
Please provide below a brief resumé listing your high school activities, honors, awards, etc. Please be sure to indicate whether you held leadership positions in the activities. Also, indicate the year or years (freshman, sophomore, junior, senior), in which you participated in the activities, and spell out the full names of anything listed as acronyms.
In the space below, write an essay (maximum two pages, 12 pt., double-spaced in MS Word or equivalent – you may copy and paste below if you like) addressing one of the following:
By submitting the Supplemental Profile, I approve the release by the University of my name, address, class, high school and scholarship award if I am selected. Further, by submitting this profile, I certify that, to the best of my knowledge, all statements submitted are my own. I understand that this Supplemental Profile and all records gathered for my application file are confidential and will not be disclosed to me. Access will be restricted to appropriate University personnel and to the donor of my scholarship (if applicable).
Please fill out and submit this Supplemental Profile, including the two-page essay, by December 1, by clicking the submit button. Preferential consideration will be given to students who apply to the University and submit the Supplemental Profile by December 1.
Southern Illinois University Edwardsville is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education.