Internship/Scholarship

First Christian Church, Disciples of Christ

Macomb, IL

Scholarship/Internship
Application

This application is to be submitted with other requested materials when applying for a scholarship or internship opportunity through the First Christian Church (DOC) of Macomb, IL.

Upon clicking Submit at the end this form will send the application electronically to the church.

Select the Internship/ Scholarship Applying: (For description refer to church web site)

PERSONAL INFORMATION

Student Name

Campus Address

Phone Number(Cell)

Permanent Home Address

Are you a member of FCC Macomb?

If no, what is your home church?

ACADEMIC INFORMATION

Semester Hours Completed at WIU

Semester Hours at Other Colleges

Cumulative WIU Grade Point Average

Major

WIU ID #

EXTRA & CO-CURRICULAR ACTIVITIES

1. What are your academic interests outside of your major?

2. In what organizations and/or programs are you active:

a. Campus

b. Off-Campus

c. Volunteer

3. What work experience have you had?

4. What are your plans for the future?

5. List the names and departments of faculty members who are writing letters of recommendation for you:

Upload files to attach to the completed form

Upload a File

I verify the information in the application to be truthful and complete to the best of my knowledge and abilities. I understand that completion of this application does not automatically grant award.

Signature

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