The Triangle Fraternity Scholarship Application

(Illinois Chapter only)

* denotes required fields.

*Full Name:
*Street:
*City:
**State/province:
**Zip:
	**Not required if you reside outside of the country
Country:
	Required if you reside outside of the country
*Phone:
*E-mail:
*Date of birth:
*Country of Citizenship:
*Guardian's Name:
*Guardian's Relation:
*High School Name:
*High School City:
*Class Rank:	out of
*GPA:	out of
Write the name of the college and major for what you are entering at the University of Illinois
*College:
*Major:
*Either ACT or SAT required
ACT:
	Test Date:
	Engl: Math: R: SR: Comp:
SAT:
	Test Date:
	Verbal: Math:
Extra curricular activities in and outside of high school (indlue office, dates, time/week):

Honors and Awards:

Work Experience:

Sports (indicate varisty when appropriate):

Interests (include interests and hobbies not mentioned above and highlight any college or long-term golas):

*Please attach a file containing your personal statement and your professional statement from your university application (in PDF, Microsoft Word, or TXT format) NOTE: You should submit one file that contains both statments.