A & D PATRICIA BULKELEY SCHOLARSHIP

WESTERN ILLINOIS UNIVERSITY - DEPARTMENT OF ART & DESIGN
JANICE OWENS & DR ERIC STIFFLER SCHOLARSHIP

Due September 28th
Student's name
WIU ID #
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
WIU Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Total semester hours completed at WIU
Cumulative GPA (3.0 minimum required)
WIU Major
WIU Minor
List other scholarships you have applied for
List other types of financial aid you have applied for
List awards and honors received
List college level extra curricular activities
Please submit:

1. A 1-page typed essay about why you are applying for this scholarship. (Word document).

2. One letter of recommendation.

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JANICE OWENS & DR ERIC STIFFLER SCHOLARSHIP