Uhl Scholarship Student Application Form

Uhl Scholarship Student Application Form

The Jerry Uhl Scholarship

2017-18 Scholarship Application Packet: Student Form

 This form must be filled out any high school student who is applying for the Jerry Uhl Scholarship. Please complete the form, include the documents listed below and click "Submit". Submission deadline is July 15, 2017 for full consideration.

 

 

 

 

 

answer must be phone number with area code like 217-333-1000

 

answer must be an email address

 

required8. Gender

required8. Gender

required9. Citizenship

required9. Citizenship

 

answer must be date like mm/dd/yyyy

 

Ethnic/Racial Codes

Your response to these items is voluntary. Please enter your ethnic and racial identification information to help the University meet its federal reporting obligations. Additional information about these regulations is available on the University of Illinois Web site at Country of Citizenship: http://www.vpaa.uillinois.edu/RaceEthnicity

 

12. Are you Hispanic or Latino?

12. Are you Hispanic or Latino?

Ethnic/Racial Codes

Your response to these items is voluntary. Please enter your ethnic and racial identification information to help the University meet its federal reporting obligations. Additional information about these regulations is available on the University of Illinois Web site at Country of Citizenship: http://www.vpaa.uillinois.edu/RaceEthnicity

 

13. Indicate the race(s) with which you identify:

13. Indicate the race(s) with which you identify:

 

 

 

answer must be an email address

 

required18. A letter of recommendation from a high school science or math teacher is required for this application. Enter the name and email address of the teacher who you would like us to contact.

required18. A letter of recommendation from a high school science or math teacher is required for this application. Enter the name and email address of the teacher who you would like us to contact.

 

answer must be an email address

 

21. You are signing this Agreement electronically. Check here to consent to the use of electronic communications, electronic records, and electronic signatures rather than paper documents for all the forms provided for The Uhl Scholarship search. You understand and agree that your electronic signature is legally binding, just as if you had signed a paper document. Your consent to use electronic signatures and online documents applies only to the materials related to your endorsement of the requested application.

21. You are signing this Agreement electronically. Check here to consent to the use of electronic communications, electronic records, and electronic signatures rather than paper documents for all the forms provided for The Uhl Scholarship search. You understand and agree that your electronic signature is legally binding, just as if you had signed a paper document. Your consent to use electronic signatures and online documents applies only to the materials related to your endorsement of the requested application.

 

 

The Student essay should be a brief essay (typed) of 300 words or less, explaining why the student feels they deserve the scholarship, as well as their future plans for university study. It should be saved and attached as a .pdf document.

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required Include your email address in your submission to:

  • Get a copy of your answers
  • Receive a link to delete your submission later