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The Staff Senate
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Print Name of Applicant _______________________________

FACULTY FOR COLLECTIVE BARGAINING SCHOLARSHIP

Southern Illinois University at Edwardsville

Use this form if you have completed 12 OR MORE semester hours of college work.

ELIGIBILITY CRITERIA: To submit an application you must meet the following criteria:

a. You must be the son, daughter, grandchild or spouse of a represented presently employed or represented retired Civil Service (excluding non-status), represented Professional Staff employee (excluding appointments of less than 50% and term appointments of less than six months), or represented Non-tenure track faculty member of SIUE;

b. You must be admitted for full-time undergraduate study;

c. You must have completed at least one term as a full-time college student;

d. You must have at least a college GPA of 2.5 on a scale of 4.0=A.

Please complete (TYPE) the items below. You must submit all required materials in order to be a candidate for consideration:

Student ID #______________________________Daytime phone #_______________________________

Address_______________________________________________________________________________

City______________________________State______________________________Zip________________

Email ________________________________Overall high school or its equivalent GPA_______________

Name of SIUE represented Employee_______________________________

Unit/Department ____________________

Employment Status (check one) Presently Employed ______ Retired______

Scholarship applicants will be judged on the following criteria: Overall GPA, a typed essay from you, co-curricular activities (e.g. babysitting, clubs, sports, charitable service, etc.), honors and/or awards, work history, and letter of recommendation.

Applicants are required to submit: (1) a completed application, this form, (2) college transcript AND 1 (one) letter of recommendation.

Application Deadline: 12:00pm, Oct 17, 2008

Return to:
University Governance
Box 1252
Southern Illinois University Edwardsville
Edwardsville, IL 62026
Or
Room 0103, Rendleman Hall

__________________________________________
Signature of applicant

In the space below, please TYPE an essay explaining why you believe you should receive a Faculty for Collective Bargaining Scholarship Award. Please include your goals and/or area of study. Use additional paper if necessary.

TYPE all co-curricular activities (e.g. babysitting, club(s), sports, charitable service, etc.). Indicate any offices held.

TYPE all honors and/or awards you have received.

TYPE Work History (paid or unpaid) # of hours dates

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