NONRESIDENT LEGACY STUDENT TUITION WAIVER

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ALUMNI ASSOCIATION NONRESIDENT LEGACY STUDENT TUITION WAIVER APPLICATION INFORMATION The Illinois State University Alumni Association is pleased to offer an opportunity for dependent children of Illinois State graduates who live outside Illinois to attend the University at in-state tuition rates. These awards are provided by the Alumni Association to assist the University in recruiting and retaining quality students, to provide an additional benefit available to graduates, and to foster continuing relationships between alumni and their alma mater. A limited number of nonresident legacy student tuition waivers will be awarded to selected students annually as funds allow. ELIGIBILITY REQUIREMENTS Students receiving waivers must be full time undergraduate students (minimum of 12 hours) each semester; the waiver will be applied to a maximum of 15 hours each semester. Applicants must meet minimum Illinois State University admission requirements and apply to the University for admission by the announced deadline. Check Admissions.IllinoisState.edu for application deadlines. Applicants must be a dependent child for a graduate of Illinois State University who is an active member of the Alumni Association, and must live outside the state of Illinois, Iowa, Indiana, Missouri, Wisconsin, Kentucky and Michigan. Recipients must use the award for educational and/or housing expenses. AWARD A limited number of nonresident tuition waivers are available for selected students as funds are available. The amount of the award is based on tuition rates and the number of hours the student takes each semester (minimum of 12 to a maximum of 15 hours per semester). Selected applicants will be assessed out-of-state tuition but will receive a credit for the difference between in- and out-of-state rates. The waiver is applicable for the fall 2013 and spring 2014 semesters, providing the student remains in good academic standing with the University and enrolls full time for both semesters. The award may be applied to summer session courses (not to exceed a total award of 30 hours per year). Tuition and fees for out-of-state students are $20,887. However, students from neighboring states (Iowa, Indiana, Wisconsin, Michigan, Missouri, Kentucky) and some academically talented students (as determined by the university) are eligible for a rate of tuition equal to students who live in Illinois, a savings of $8,000 per year. SELECTION PROCESS Completed applications and letters of recommendation must be received in the Alumni Relations office no later than March 3, 2014. The director of Alumni Relations will authorize the University to apply the award to the student accounts of the selected recipients. The appropriate amount of the waiver, based on the number of scheduled hours, will be deducted from the student s tuition/fees liability for the fall and/or spring semesters (and summer session if applicable). Active members of the Alumni Association are defined as alumni who have made a gift to Illinois State University in either the preceding or current fiscal year. For purposes of the application, at least one contribution to the Illinois State Foundation, must have been made between July 1, 2013 and the date of the application is received in the Alumni Relations office. APPLICATION INSTRUCTIONS Applications are available at IllinoisState.edu/alumni. Application deadline: received or postmarked on or before March 3, 2014 (applications received after this date will not be considered). A completed application package must contain the following items (which may be sent separately) to be considered: Completed application form One letter of recommendation An official copy of your most recent high school or college transcripts. All information must be legible in black ink. No staples. Please submit completed application packages to: Alumni Association Scholarship Illinois State University Campus Box 3100 Normal, IL 61790-3100 Or email to Alumni@IllinoisState.edu

PERSONAL INFORMATION Name Last First Middle Preferred Date of Birth / / University ID Number Month Day Year Home Phone ( ) Cell Phone ( ) WHICH PHONE DO YOU PREFER? Home Cell Email Address PERMANENT ADDRESS P.O. box, street or rural route City State Zip LOCAL ADDRESS P.O. box, street or rural route City State Zip ACADEMIC INFORMATION High School Attended Name/City State Graduation Date Grade Point Average Class Rank ACT Scores / / Average/Scale Rank/No. of Students Composite Verbal Math

HAVE YOU APPLIED FOR ADMISSION? Yes No HAVE YOU BEEN ACCEPTED FOR ADMISSION? Yes No ARE YOU AVAILABLE FOR AN ON-CAMPUS INTERVIEW? Yes No ARE YOU AVAILABLE FOR A PHONE INTERVIEW? Yes No I WILL ENTER THE FALL SEMESTER AS A: First-time student, no previous college attendance Returning student Transfer student Freshman Sophomore Junior Senior EXPECTED GRADUATION DATE / MAJOR Month Year IF YOU HAVE PREVIOUS COLLEGE HOURS, LIST UNIVERSITIES/COLLEGES ATTENDED. INCLUDE THE UNIVERSITY NAME, DATES ATTENDED, CREDIT HOURS EARNED, AND YOUR MAJOR. College/University City and State (or country) Date of attendance Semester hours completed Degree(s) anticipated or awarded Month/year of degree From (m/y to (m/y) / / / / / / / / EXTRACURRICULAR ACTIVITIES COMMUNITY SERVICE, CIVIC ENGAGEMENT, OR WORK EXPERIENCE

AWARDS OR HONORS RECEIVED ANSWER THE FOLLOWING ESSAY QUESTIONS. LIMIT YOUR ANSWERS TO 250 WORDS PER QUESTION. (If additional space is needed, please attach a separate page) 1. WHY DID YOU CHOOSE TO ATTEND ILLINOIS STATE UNIVERSITY? 2. WHY SHOULD YOU BE AWARDED THIS WAIVER? 3. HOW DO YOU SEE YOURSELF CONTINUING YOUR RELATIONSHIP WITH ILLINOIS STATE POST GRADUATION? 4. PLEASE PROVIDE A PERSONAL STATEMENT DESCRIBING YOUR FINANCIAL NEED FOR THIS SCHOLARSHIP. FAMILY MEMBER (S) WHO ATTENDED OR GRADUATED FROM ILLINOIS STATE UNIVERSITY (FOR VERIFICATION):

Name Relationship Street address City State _( ) Phone number Degree Years attended or graduation year Name Relationship Street address City State _( ) Phone number Degree Years attended or graduation year CERTIFICATION I have personally completed this application and have read all of the terms and conditions for the Illinois State University Alumni Association Scholarship Award Program. I certify that the information on this application is true and correct to the best of my knowledge and grant my permission for the information contained herein to be shared with the Illinois State University Alumni Association Scholarship Award Committee. If awarded an Illinois State University Alumni Association Scholarship, I release to the Illinois State University Alumni Association the right to use my name and picture for publications, reports, and press releases. By signing this application form I give the University permission to verify my information, which may include obtaining financial need records from Financial Aid. SIGNATURE OF APPLICANT \ \ MONTH DAY YEAR