Leadership and Service Scholarship for Underrepresented Students



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2015 IACRAO

Leadership and Service Scholarship

for Underrepresented Students

The Illinois Association of Collegiate Registrars and Admissions Officers (IACRAO) organization is made up of admissions, records, and enrollment management professionals from accredited colleges and universities located within the State of Illinois. IACRAO’s primary functions are to educate its members, to promote professionalism and professional development for its members, and to represent its members and their views through interaction with other professional groups. IACRAO is pleased to present this scholarship opportunity.





  • $500 nonrenewable scholarship awarded for the Spring 2016 term




  • Be a member of an underrepresented population (African American, Asian American, Latino or Native American).




  • Have completed at least 45 credit hours from an Illinois IACRAO-affiliated college/university and been accepted into another IACRAO-affiliated institution.




  • Have a minimum cumulative GPA of 3.50 (4.0 scale) as certified by the registrar at the college/university from which the applicant is transferring.




  • Applicants will need to submit:




    • A brief (one page, 300 word maximum) personal statement describing one leadership or service experience where the applicant has given of him/herself in service to others. The applicant will describe how his/her high school, college/university and/or community benefited and what he/she gained from the experience.




    • A list of Leadership and Service activities the applicant is currently or previously involved with in the high school, community college and/or community.




    • A recommendation from a community member addressing the applicant's leadership/service activities, contributions and personal character.




    • A recommendation from a faculty member, adviser or counselor from the community college (from which you are currently enrolled) addressing the applicant's leadership/service activities, contributions and personal character.

2015 IACRAO

Leadership and Service Scholarship

for Underrepresented Students

The Illinois Association of Collegiate Registrars and Admissions Officers (IACRAO) invites you to apply for its Leadership and Service Scholarship for Underrepresented Students. In order to be considered for this nonrenewable $500 scholarship you must:




  1. Be a member of an underrepresented population (African American, Asian American, Latino or Native American).




  1. Have completed at least 45 credit hours from an Illinois IACRAO-affiliated college/university and been accepted into another IACRAO-affiliated institution (see attached).




  1. Have a minimum cumulative GPA of 3.50 (4.0 scale). Transcripts are not necessary if the cumulative GPA is provided on this page and verified by your institution’s registrar.




  1. Submit a brief (one page, 300 word maximum) Personal Statement (see Section II). It is important that you follow the directions and type or print legibly (typewritten preferred).




  1. List your Leadership and Service Activities (see Section III). Please use the form provided.




  1. Submit one recommendation form from a faculty member, academic adviser or counselor (see Section IV). Please use the form provided or a signed letter on school letterhead.




  1. Submit one recommendation form (see Section V) from a community member (not a relative) who can address your leadership/service activities. Please use the form provided, or attach a signed letter. Community members may include clergy, employer, scouting or 4-H advisors, etc.




  1. The recipient must attend an Illinois IACRAO-affiliated institution. See attached list. *Winners will be announced in September. For announcement of winners, you may also consult the IACRAO website (http://www.iacrao.org). Payment of the scholarship award will be made upon verification of spring enrollment at the Illinois IACRAO-affiliated institution.




  1. Applicant must submit the completed scholarship application, letters of recommendation, and personal statement as one packet - either via mail to the person/address listed below, or via email as a PDF document.




  1. All application materials must be postmarked by August 31, 2015. Application materials postmarked after August 31, 2015 will not be considered.



2015 IACRAO

Leadership and Service Scholarship

for Underrepresented Students
SECTION I: APPLICANT INFORMATION: (Please type or print legibly.)

Last Name First Middle


Address City State Zip Code


XXX-XX-_________ ( )

Last 4 digits of your SSN Date of Birth Phone Number with area code


Check one: ____U.S. Citizen ____Permanent Resident ____other

E-mail _____________________________________________________________ ________


College/University currently attending: ________________________________________________________
College/University you will be attending: ______________________________________________________

Grade Point Average / Term: __________________ Cumulative Grade Point Average: ______________

Verified by: ( )

Print Name of College/University Registrar Phone Number with area code


Check One:

 4.0 Scale  5.0 Scale

Signature of College/University Registrar required for verification


I certify that the information provided in this application is complete and accurate. I authorize the release of my scholarship materials to members of the IACRAO Scholarship Committee. In the event I am awarded a scholarship, I understand that the information about me may be released.



Applicant Signature Date


Submit your completed scholarship packet to:
Daniel Weber – IACRAO Past President

c/o Northeastern Illinois University

5500 N St. Louis Ave

Chicago, IL 60625

d-weber3@neiu.edu

2015 IACRAO

Leadership and Service Scholarship

for Underrepresented Students


Applicant Name: __________________________________________


SECTION II: PERSONAL STATEMENT: (Please type or print legibly.)
On this sheet in 300 words or less, please describe one leadership or service experience where you have given unselfishly of yourself in service to others. How did your school or community benefit? What did you gain from the experience?
2015 IACRAO

Leadership and Service Scholarship

for Underrepresented Students

Applicant Name _______________________________________________________


SECTION III: LEADERSHIP AND SERVICE ACTIVITIES:

(Submit one page only. Please use this form and type or print legibly.)


High School or College/University Involvement:




Activity




Title/Positions Held




List the

Years of


Involvement

(FR, SO, JR, SR)






List the

Number


of Months

Per Year
























































mos. mos. mos. mos. mos. mos. mos. mos. mos. mos.

Community/Leadership Involvement While Attending High School or College/University:




Activity




Title/Positions Held




List the

Years of


Involvement

( FR, SO, JR, SR)






List the

Number


of Months

Per Year




























































mos. mos. mos. mos. mos. mos. mos. mos. mos. mos. mos.



2015 IACRAO

Leadership and Service Scholarship

for Underrepresented Students


SECTION IV: FACULTY MEMBER/ACADEMIC ADVISER/COUNSELOR RECOMMENDATION

(Please return completed form to applicant for submission along with the scholarship application to IACRAO.)


Please evaluate this student as to his/her leadership/service activities, contributions, and personal character. (Please submit your recommendations on this form or on school letterhead.)

Student Name: _______________________________________


How long have you know this person?


In what capacity have you know him/her?
Please type or print recommendation legibly in the space provided below or attach your recommendation on school letterhead.


I certify that the recommendation provided above is complete and accurate.
__ ___________

Faculty Member/Academic Adviser/Counselor Signature of Faculty Member/Academic Adviser/Counselor


Title
( )

Name of College/University School Phone Number

School Address Date



2015 IACRAO

Leadership and Service Scholarship

for Underrepresented Students

SECTION V: COMMUNITY/LEADERSHIP RECOMMENDATION

(Please return completed form to applicant.)


Please evaluate this student as to his/her leadership/service activities, contributions outside of the community college, and personal character. (Please submit recommendations on this form or on appropriate personal or professional letterhead.)

Student Name: _____________________________________________

How long have you know this person?
In what capacity have you know him/her?
Please type or print recommendation legibly in the space provided below or attach your recommendation on letterhead.


I certify that the recommendation provided above is complete and accurate.

Name Signature


Title Date


2015 IACRAO-AFFILIATED
COLLEGES/UNIVERSITIES

Adler School of Professional Psychology

American Academy of Art

Augustana College

Aurora University

Black Hawk College

Bradley University

Carl Sandburg College

City Colleges of Chicago

Malcolm X College

Olive-Harvey College

College of DuPage

College of Lake County

Danville Area Community College

DePaul University

DeVry University

Dominican University

Eastern Illinois University

Elgin Community College

Governors State University

Greenville College

Highland Community College

Illinois Eastern Community Colleges

Frontier Community College

John A. Logan College

Lincoln Trail College

Olney Central College

Wabash Valley College

Illinois Institute of Technology

Illinois State University

Illinois Valley Community College

Illinois Wesleyan University

John Wood Community College

Joliet Junior College

Kankakee Community College

Kaskaskia College

Kishwaukee College

Lake Forest Graduate School of Management

Lake Land College

Lewis & Clark Community College

Lewis University

Lincoln College

Lincoln Land Community College

McHenry County College

McKendree College

Millikin University

Moraine Valley Community College

National University of Health Sciences

North Central College

Northeastern Illinois University

Northern Illinois University

Oakton Community College

Olivet Nazarene University

Parkland College

Prairie State College

Rend Lake College

Robert Morris University

Rock Valley College

Roosevelt University

Rush University

Sauk Valley Community College

South Suburban College

Southeastern Illinois College

Southern Illinois University Carbondale

Southern Illinois University Edwardsville

Southwestern Illinois College

Spoon River College

Triton College

University of Chicago

University of Illinois at Chicago

University of Illinois at Springfield

University of Illinois at Urbana-Champaign

University of St. Francis

Waubonsee Community College

Western Illinois University

Wheaton College



William Rainey Harper College


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