application form - Illinois Institute of Technology

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Leadership Resume: Provide an extracurricular and leadership resume detailing ... Scholarship Application (signed form,
PRESIDENTIAL SCHOLARSHIP

APPLICATION FORM

For additional information pertaining to the Presidential Scholarship, including eligibility requirements and a list of Presidential Scholarship Liaisons at qualified institutions, please visit http://admissions.iit.edu/undergraduate/finances/presidential-scholarships

STUDENT INFORMATION: [Please type or print clearly] Last/Surname ____________________________________________________ First/Given Name_______________________________________________ M.I._________________ Street Address ______________________________________________________________ City________________________________ State_________________ Zip Code_______ Telephone __________________________________________________________________________ Email Address ___________________________________________________ Entry Term to Illinois Tech:  Fall (year) _______  Spring (year) _______

Academic Area(s) of Interest _____________________________________________________

I am affiliated with the following qualified institution: ____________________________________________________________________________________________________

ATTACH TO THIS FORM  A one-page, single-spaced, typed essay that responds to the following essay question: “Illinois Tech has a long history of generating alumni who have made significant contributions to their communities and in their fields of study. How will you be a catalyst for change in your community, the IIT community and your chosen academic field?”  Leadership Resume: Provide an extracurricular and leadership resume detailing your community service involvement, extracurricular activities, and work experience.

WAIVER REQUEST FOR ASSOCIATE’S DEGREE REQUIREMENT  I wish to waive the Associate’s degree requirement Dean of Instruction/Designated Nominating Official (Signature): _________________________________________________________________ Date:______________________

*Approval is required to waive this requirement!

REQUEST OFFICIAL NOMINATION Submit this form to your college’s Dean, Director, or designated nominating official to request official nomination. A separate nomination letter is not required. I, _________________________________________, am the ___________________________________ of ____________________________________________________________ (name)

(title)

(institution)

and I officially nominate this student, ________________________________________________, for the IIT Presidential Scholarship. Nominating Official’s Signature:______________________________________________________________________________ Date: _____________________________________

SUBMIT TO IIT Once you have received the official nominating signature from the President/Principal or designated nominating official of your qualified institution (see above), please submit your Presidential Scholarship Application (signed form, essay, and leadership resume) to the Office of Undergraduate Admission at the address below by November 15 for Spring semester, or by May 15 for Fall semester. Students must also apply and be admitted to Illinois Tech to be eligible for the scholarship. The Presidential Scholarship will be awarded at the time of admission to Illinois Tech. You are encouraged to apply early, as scholarships are limited. Office of Undergraduate Admission Illinois Institute of Technology Perlstein Hall, Room 101 10 West 33rd Street Chicago, IL 60616

SCHOLARSHIP RENEWAL REQUIREMENTS Recipients of the Presidential Scholarship are strongly encouraged to participate in civic and outreach activities which engage and bridge their communities at the university, in the Illinois Tech/Bronzeville neighborhood, and communities throughout the city of Chicago as an essential component of realizing the spirit of the Presidential Scholarship. Renewal is dependent on maintaining full-time status and on making satisfactory academic progress.