Southern Illinois University

College of Mass Communication and Media Arts

Foote Scholarship for Off-Campus Study
2009

Founded by former dean of the College of Mass Communication and Media Arts Joe
Foote and his wife Jody, the intent of this scholarship is to help make off-campus study
available to students for whom the experience would otherwise prove an excessive
financial burden. Merit and financial need will both be taken into consideration in the
selection process. A Selection Committee will review all applications and the recipient
will be notified upon determination.

An application form is attached. Deadline for turning in the application is Friday,

January 30, 2009. Completed applications should be turned in to:

Clare Mitchell, Chair

Selection Committee
Foote Scholarship for Off-Campus Study
Room 1014A Communications Building
College of Mass Communication and Media Arts
Southern Illinois University
Carbondale IL 62901-6606

Please contact Clare Mitchell at 618-453-4308 or at cmitch@siu.edu if you have any

questions.
 Foote Off-Campus Study Scholarship 2009
College of Mass Communication and Media Arts
Southern Illinois University Carbondale

1. Biographical Information (type or print)

A. Student Information
Name: ___________________________________________850# ____-___-____
Last First MI

Permanent/
Home Address:_____________________________________________________
Street City State Zip (+4)

Telephone: (____) ____-______ FAX: (____) ____-______

Cell Phone: ___________________ E-Mail: _______________

B. Parent/Guardian Information
Name(s): _____________________ Relationship: ________________
_____________________ ________________

Address(es)/Telephone(s):
__________________________________________________________________
__________________________________________________________________

2. Academic Record

A. At the beginning of Fall 2009, I will be a: __sophomore __junior __senior

B. My cumulative, overall grade point average is: __________

C. My major and specialization are:

__MCMA-Undecided __Journalism-Advertising __R-T-News

__C & P –Cinema __Journalism-News/Editorial __R-T Production
__C& P-Photography __Journalism-Photojournalism __ R-T-Sales/Mgt

D. Please list your academic awards and accomplishments post high school:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
3. Leadership Activities
List co-curricular activities in which you participated since high school. Include
the number of semesters you participated and the offices held or awards you
received. Please be sure to include all activities, particularly those related to your
major. Use additional paper if necessary.
Activity/Semester in Activity/Office Held &/or Awards Received
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

4. Work Experience and Career Goals

A. List any jobs, paid or not, that you’ve had in the last three years (include part-
time, student work, internships, community service, etc.).

Position Years City/Employer

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

B. Describe your career plans as specifically as possible.

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

C. Describe the off-campus program in which you are interested:

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

D. Describe why you want to study off-campus.

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

*Please attach additional sheets if needed

Applicant Agreement

In connection with this application, I grant members of the faculty and staff of the
College of Mass Communication and Media arts permission to review my personal
financial aid and academic records. My waiver of legal privacy rights extends only to
those reviews necessary and proper in connection with the consideration of my
scholarship application. I hereby attest that the information on this scholarship
application is correct and true, and if I am selected as the recipient of a scholarship, I
authorize an appropriate news release to the following newspaper:

_____________________________________________________________________
Newspaper Name City State

Your signature: ____________________________________Date:___________