Please complete the scholarship application and return it to:

Scholarship Selection Committee Western Catholic Union 510 Maine Street Quincy, IL 62301

Or via email to: quscholarship@wculife.org Scholarship Requirements

• Complete the admissions application process at Quincy University by January 17th. • All documents (completed application and requisite materials) must be postmarked by January 17th or submitted via email by January 17th. • Winners will be notified by phone and/or email no later than March 13th. • Scholarships will be paid directly to Quincy University and applied to the respective student’s tuition account.

Scholarship recipients will be selected based on the completed application, formal essay, and the unique value the recipient brings to Quincy University. Recipients must organize a fundraiser or community outreach project with the support of their local branch of the Western Catholic Union. This is a one-year scholarship; however, candidates and recipients are encouraged to reapply each year.

Western Catholic Union Scholarship Application for Quincy University

NAME OF APPLICANT (PLEASE PRINT): _________________________________________________________

PERMANENT HOME ADDRESS: ______________________________________________________________

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HOME PHONE:___________________________________ CELL PHONE:_____________________________

DATE OF BIRTH: _______________________________ SOCIAL SECURITY NUMBER: ____________________

ANTICIPATED MAJOR OR COURSE OF STUDY AT QU:_____________________________________________________

HOW DO YOU BRING A UNIQUE VALUE TO QUINCY UNIVERSITY?___________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

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LIST ALL SCHOOLS ATTENDED, BEGINNING WITH THE MOST RECENT, AND INCLUDE DATE(S) OF ATTENDANCE AND DATE OF GRADUATION. IF YOU NEED ADDITIONAL SPACE, PLEASE USE A SEPARATE SHEET.

SCHOOL: _________________________________________________________ FROM:__________ TO: ___________

CITY: _____________________________________ STATE: ________ GRADUATION DATE: ______________________

SCHOOL: _________________________________________________________ FROM:__________ TO: ___________

CITY: _____________________________________ STATE: ________ GRADUATION DATE: ______________________

NAME OF CHURCH OR PARISH: ______________________________ CITY: ___________________ STATE: ________

ARE YOU A MEMBER OF THE WESTERN CATHOLIC UNION? ____________ NAME OF BRANCH:___________________

ARE YOUR PARENT(S) OR GUARDIAN(S) ACTIVE MEMBERS OF A WCU BRANCH? ________

PLEASE SUBMIT THE FOLLOWING MATERIALS WITH THIS APPLICATION FORM:

I. A LIST OF YOUR PRINCIPAL EXTRACURRICULAR ACTIVIES IN ORDER OF IMPORTANCE TO YOU. INCLUDE SCHOOL, CHURCH, AND COMMUNITY ACTIVITIES, LEADERSHIP ROLES HELD AND/OR HONORS EARNED. PLEASE INCLUDE DATES OF PARTICIPATION.

II. A LIST OF ALL WCU BRANCH ACTIVITIES YOU’VE PARTICIPATED IN OR ATTENDED IN THE LAST FIVE YEARS. III. A 1-2 PAGE ESSAY INDICATING THE IMPORTANCE OF YOUR COMMUNITY VOLUNTEERISM AND CHARITABLE

EFFORTS. IV. THREE (3) LETTERS OF REFERENCE.

Submit completed materials to Scholarship Selection Committee, Western Catholic Union, 510 Maine Street, Quincy, Illinois 62301, or email to quscholarships@wculife.org.

Western Catholic Union Scholarship Application for Quincy University