Section 1 of 6
Balanced Man Scholarship Application 2020
Presented by the Illinois Nu Chapter at the Eastern Illinois University.
Section 2 of 6
Applicant Information
First Name
First Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Last Name
Last Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Birth Date
Birth Date
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Address
Address
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Phone
Phone
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Email Address
Email Address
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Class Year
Class Year
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Incoming Freshman (beginning August 2020)
Sophomore
Junior
Senior
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Student Status
Student Status
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Transfer Student
Gateway Program
4-Year Enrolled
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Section 3 of 6
Scholastic Information
If your High School GPA is on a 5.0 scale, simple subtract 1 to convert to a 4.0 GPA (ex 4.5 GPA on 5.0 scale is converted to 3.5 GPA on a 4.0 Scale).
GPA (Out of 4.0)
GPA (Out of 4.0)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
ACT COMPOSITE
ACT COMPOSITE
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
SAT COMPOSITE SCORE (If Applicable)
SAT COMPOSITE SCORE (If Applicable)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Class Rank: __ of __
Class Rank: __ of __
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
High School
High School
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Intended Major
Intended Major
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Intended Major
Intended Major
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
How did you hear about this scholarship? (Check all that apply)
How did you hear about this scholarship? (Check all that apply)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Email
Counselor
EIU Scholarship Page
Other…
Add option
…
Answer key
(0 points)
Loading...
If email, from where?
If email, from where?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
If Counselor, please provide Name & High School
If Counselor, please provide Name & High School
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Other?
Other?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Section 4 of 6
Leadership, Activities & Achievements
Please answer the following questions. Be sure to include dates and positions held.
List any Honors, Awards, or Scholarships you have been awarded
List any Honors, Awards, or Scholarships you have been awarded
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
(Write "None" if none apply)
Answer key
(0 points)
Loading...
List all extracurricular activities and positions held
List all extracurricular activities and positions held
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
(Write "None" if none apply)
Answer key
(0 points)
Loading...
List any community involvement
List any community involvement
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
(Write "None" if none apply)
Answer key
(0 points)
Loading...
List any work experience
List any work experience
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
(Write "None" if none apply)
Answer key
(0 points)
Loading...
In 100 words or less please explain what being a balanced man means to you
In 100 words or less please explain what being a balanced man means to you
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Section 5 of 6
Additional Information Required
Please review and send pertinent information to the Vice President of Recruitment as listed below
Please provide a copy of your High School transcript to mbarth2001@icloud.com
Please provide a copy of your High School transcript to mbarth2001@icloud.com
Loading...
Please include a photograph to be used at the Awards Ceremony
Please include a photograph to be used at the Awards Ceremony
Loading...
Section 6 of 6
DEADLINE FOR APPLICATION IS SEPTEMBER 14TH, 2020 FOR ONLINE APPLICANTS
Applying for the Balanced Man Scholarship in NO WAY obligates you to join Sigma Phi Epsilon Fraternity.
Applying for the Balanced Man Scholarship in NO WAY obligates you to join Sigma Phi Epsilon Fraternity.
Should you have questions, please contact: Michael Barth at (618) 792-3207
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions