WESTERN ILLINOIS UNIVERSITY - DEPARTMENT OF ART & DESIGN
MICHAEL AND ELIZABETH ROGERS SCHOLARSHIP
Due September 28th
Student's Name
WIU ID #
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
WIU Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Cumulative GPA
WIU Major
WIU Minor
Sem hrs completed in Art courses
Total Sem hrs completed at WIU
List other scholarships you have applied for
List other types of financial aid you have applied for
List awards and honors received
List your civic and community activities
Please write an essay explaining why you decided to major in Art at Western Illinois University
Applicant's signature
Date
/
Month
/
Day
Year
Date
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