
Illinois Young Scholars Student Application
You have reached
the on-line location to submit your Illinois Young Scholars Application.
In a few short steps, you will have completed your application. To have your
application submitted, you must complete all the steps. Partially completed applications are not accepted.
As you fill out the application, you will be asked if you wish to include a picture. (This is
not required.) To do this step on-line, you must use a Visa or Mastercard. If you do not have a credit card, or would prefer to pay by check, you
should use the paper copy of the application that you received in your envelope and send us a regular picture and check with your application.
The information you choose to include on this application will appear in the Illinois Young
Scholars 2010 edition book. You will receive a Proof Sheet in the mail to make sure we have all of your information correct. Please remember,
we do not publish home street addresses or email addresses in the book.
Parents will be asked
to sign off on this application at two different points.
Please Note: To submit an application, YOU
MUST be nominated by your teacher. If we have not received your name through our nomination process, you will not be included in our
publication. Only students who were nominated by their teacher and took home a letter from their teacher with their name on it are eligible to fill
out this application. While there may be other students who meet the qualifications we set to be named a Illinois Young Scholar, we can only accept
those who were nominated through our process.
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| PARENT ACKNOWLEDGMENT |
To accept, please check the box to continue.
Yes, I acknowledge that my child has been nominated by his or her teacher to be a 2010 Illinois Young Scholar. He/She has my permission
to continue by submitting an application.
To continue, you must be nominated by a teacher to be a 2010 Illinois Young Scholar and check the box to
continue. |
| GENERAL INFORMATION |
| At this
point, we will ask you for some basic information. Please
DO NOT enter your application in ALL CAPS. Instead, use
the proper upper and lower case formatting. DO NOT USE COMMAS. |
Student First Name
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Student Last Name
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Address
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City
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State
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Zip
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School
Name
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Contact Email
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Grade
of Student Applicant:
*required |
Telephone Number
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| ACTIVITIES |
You will now have the opportunity to select honors, awards, and
activities that you would like included in your biography. You may select 8 of the boxes below.
We realize it may be impossible to include all honors you receive or may receive at the end
of the year. We suggest you choose those awards most important to you throughout your lifetime or simply select those you received during the current
school year. It is your choice to decide how you wish your biography to read. |
Activity #1
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Activity #2
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Activity #3
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Activity #4
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Activity #5
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Activity
#6
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Activity #7
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Activity #8
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Additional Awards/Honors/Activities
In addition to the awards listed above, there may be awards you were not able
to include or were more specific than what our list contained. An example of this may be “1st Place, Baker County 4-H Fair” or
“AGM Organ Age Champion – 10 Year olds.” Another possibility to include in this section are items from the previous list that you
could not include because you had already selected eight items. You could write them in here. We are looking for specific honors or awards in
bullet like fashion. You should not write this section in complete sentences. We do edit this section to meet our standard formatting
criteria.
You may include up
to 100 characters that include additional awards or activities not already
listed above.
IMPORTANT:
DO NOT INCLUDE COMMAS. PLEASE SEPARATE ENTRIES WITH SPACES.
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| PARENT or GUARDIAN SECTION |
For this section, please make sure your parent assists you so that
your biography can be properly processed. A parent or guardian must complete this section.
Before we can complete
your child's application, we have a few areas for parents to complete.
We thank you for your time in completing this application.
Parent Consent
As a parent, by digitally signing my name, I certify that my son or daughter was nominated by a
teacher to be a 2010 Illinois Young Scholar. The information included in this application is accurate to the best of my knowledge. My child has
my permission to be named a Illinois Young Scholar.
Electronic Signature
*required |
Internet
For no charge, Illinois
Young Scholars posts the names of the students who were named 2010 Illinois
Young Scholars on its website. This will be completed by September.
On our site, we include the child's name, grade, school and hometown.
We do not publish home addresses, email addresses or a child's picture
on the Internet. To be included on the site, a parent must give
permission to have it included.
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Child's
Picture
In our print edition,
you may elect to include your child's picture with his biography.
In case you were wondering, in past years, roughly half of the participants
choose this option. To cover the extra space and processing, there
is a $10 fee for this option. To choose this option
using our online application, you must pay by using either a MasterCard
or Visa. You may submit a digital picture for us to use or choose
to mail a standard photograph. Simply follow the prompts as directed
to select the type of picture you would like to choose.
Upload photo:
If you prefer, a hard copy picture can be sent to Illinois Young Scholars
, PO Box 365, Birmingham, MI 48012. Photo must be marked on the back
with the following information
Full Name, School, Grade, and State.
IMPORTANT: JPEGs only. Photo must be maximum
600 pixels on the longest side at 300dpi. File must not exceed 2 Megabytes.
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