Welcome to Illinois Alpha RLC - Balanced Man Scholarships

Name

FirstLast

Address

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Birthday

MMDDYYYY

Email Address required

Phone Number required

(###)#######

Academic Information

GPA (Indicate weight) required

ACT/SAT Composite required

Class Rank (include class size) required

High School required

Intended Major required

Leadership, Activities & Achievement Information

In one word document, answer the following questions. Be sure to include dates and positions held

1. List any honors, awards, or scholarship

2. List all extracurricular activities and positions held

3. List any community involvement

4. List any work experience

5. In 50 words or less please explain what being a balanced man means to you.

Leadership, Activities, and Achievement (Please attach the previous five questions in a word document here) required

Include a photograph to be used at the Awards Ceremony

Photo

*PLEASE MAIL YOUR OFFICIAL HIGH SCHOOL TRANSCRIPT TO THE CURRENT VP RECRUITMENT AT THE FOLLOWING ADDRESS:

VP Recruitment 1105 South Fourth Street Champaign, IL 61820

If you have any questions, please feel free to email Keith Whitlock our current VP Recruimtent at whitloc1@illinois.edu

Signature

Today's Date required

MMDDYYYY

Sigma Phi Epsilon - IL Alpha