Financial Aid Office 231 Fell Hall Campus Box 2320 Normal, IL 61790-2320

Telephone: (309) 438-2231 Facsimile: (309) 438-3755 www.IllinoisState.edu/financialaid E-mail: [email protected]

The Friends of Donna Mauk Memorial Scholarship at Illinois State University

The Friends of Donna Mauk Memorial Scholarship was established by Ed Warshaw and friends in May 2009. This scholarship is intended to help students who have lost a parent to cancer or are battling or survived cancer themselves. Donna Mauk lost her life to cancer in 2008. Although never a student at Illinois State University (ISU), she shared her life with an ISU grad (Steve Mauk, ‘79), and many of Donna’s friends were ISU alumni. Donna was a frequent visitor to the Bloomington/Normal community, and she would be pleased to be able to help ISU students who have had to deal with the loss of a parent due to cancer or have or are battling cancer themselves.

Donna was a wonderful person who will never be forgotten. Those who knew her will always remember her as a person who always wanted what was best for everyone around her.

She loved her family and friends more than life itself. It was never about the money nor was it about having nice things; it was about being with each other. She loved to travel, especially with family and friends. Many have traveled with her at some point. It may have been that trip to Cancun, Las Vegas, North Carolina, Gatlinburg, or even just camping in the back yard at her sister’s house. No matter where she was or what she was doing, Donna would always bring a smile to your face.

The number of scholarships and the award amount will depend on available funding. It is intended that this scholarship will be made available every year.

Please send your completed application, essay, accompanying documentation (see application for details) and the Release of Information form to the Scholarship Resource Office at Illinois State University and post marked by June 22, 2012. Or you may email your essay, scanned application, scanned documentation and the scanned Release of Information form to: [email protected] no later than 4:30pm on June 22, 2012. Your name and UID number must be on all documents.

If you have any questions, you may contact Scholarship Resource Office at 309-438-2740; office hours are 8:00am to 4:30pm, Monday through Friday.

An equal opportunity / affirmative action university encouraging diversity. The Friends of Donna Mauk Memorial Scholarship Application ILLINOIS STATE UNIVERSITY 2012-2013 Academic Year Application Date

Last Name First Name University ID Number

Please give your current address and phone number for home and cell phone so we may reach you if necessary.

Current Address

( ) ( ) Home (Area Code) Phone Number Cell (Area Code) Phone Number

Grade Point Average Major

Scholarship Qualifications 1. Must be accepted for enrollment or enrolled in good academic standing at Illinois State University AND 2. Have lost a parent to cancer, is a cancer survivor, or battling cancer themselves (documentation required **) AND 3. Be an incoming freshman with a cumulative high school GPA of at least 3.00 on a 4.00 scale OR 4. Be a current student with a cumulative GPA of at least 3.00 in coursework at Illinois State or a transfer student with a cumulative transfer GPA of at least 3.00 on a 4.00 scale AND 5. Submit the required typed one page essay detailing how cancer has affected your life – no more than one page. 6. Have a financial need as determined by filing the Free Application for Federal Student Aid (FAFSA)

Essay: Please submit a typed essay, one page or less, detailing how cancer has affected your life. **Required documentation : Lost a parent to cancer - please provide a letter (from a non-family member) indicating the circumstances of the parent’s situation and their battle with cancer. Student who is battling cancer or a cancer survivor – please provide a Physician’s Statement from the “Treating Physician” indicating the circumstances of your situation and your battle with cancer.

Application Deadline: Your completed application, essay, documentation, and Release of Information form must be post marked by June 22, 2012 and mailed to: Illinois State University, Scholarship Resource Office, Campus Box 2320, Normal, IL 61790-2320. Or you may email your essay, scanned application, scanned documentation and scanned Release of Information form to: [email protected] no later than 4:30pm on June 22, 2012. If you have any questions, please call the Scholarship Resource Office at 309-438-2740. Your name and UID number must be on all documents.

An equal opportunity / affirmative action university encouraging diversity. The Friends of Donna Mauk Scholarship Release of Information

I give my permission for the Scholarship Resource Office at Illinois State University to release information regarding my name, city and state to the Friends of Donna Mauk Scholarship donors to post on the Friends of Donna Mauk Scholarship website, if selected as a recipient of the scholarship.

Student’s Name (Printed): ______

Student’s UID number: ______

Student’s Home City: ______

Student’s Home State: ______

Student Signature: ______

Date: ______

Return completed form, postmarked by June 22, 2012, to: Illinois State University Scholarship Resource Office Campus Box 2320 Normal, IL 61790-2320

Or email a scanned copy of this completed form along with your essay, scanned application and scanned accompanying documentation to [email protected] before 4:30pm on June 22, 2012. Your name and UID number must be on all documents.

If you have any questions, please call the Scholarship Resource Office at 309-438- 2740, Monday through Friday, 8:00am – 4:30pm.

An equal opportunity / affirmative action university encouraging diversity.