Presidential Scholar Awardee Information Form

Faculty Senate

Today's Date (required)

Name (required)

First name

Last name

Department (required)

Student's ��ֲ� Identification Number (WIN) (required)

Your nine-digit WMU Identification Number.

E-Mail Address (required)

Mailing Address (please include street, city, state, zip) (required)

Anticipated graduation date (required)

List your major of study at WMU (noting any concentration, option, etc.) (required)

Are you are a recipient of a full (4-year) Medallion Scholarship? (required)

Yes

Are you a member of the Lee Honors College? (required)

Yes

Where do you consider your hometown, along with city/state?

Name and city of the high school you graduated from

List other higher education institution(s), along with city/state, you graduated from and degree(s) earned

Confirm your attendance at the in-person event (required)

Yes

Name of Guest-1

Name of Guest-2

Name of Faculty Guest