THE UNIVERSITY OF ILLINOIS SYSTEM
Illinois Athletic and Academic Strive Scholarship Application for 2025-2026
1. Name
Last
*
First
*
Middle
2. University Identification Number (UIN)*
3. Permanent legal home address
Street
*
Apartment number
City
*
State
*
Zip
*
Phone
*
Email
*
4. Campus address (if different from home address above)
Street
Unit
City
State
Zip
5. University and college in which you are
currently enrolled
a. University
*
Urbana-Champaign
Chicago
Springfield
Not enrolled at the University of Illinois
b. College*
6. Birth date*
7. Enrollment plans for academic year 2025-2026
a. University
*
Urbana-Champaign
Chicago
Springfield
b. College*
8. Class level for 2025-2026*
Freshman
Sophomore
Junior
Senior
Graduate
9. GPA*
10. Have you previously been awarded an Illinois Athletic and Academic Strive Scholarship?*
Yes
No
11. Please list the colleges or universities you have attended, dates attended, and degrees earned.
College or University Attended
Dates Attended
Degree(s) Earned
12. Please describe briefly (300 words or less for each section): (a) your recent academic achievements; (b) the role of athletics and scholarship in your personal development; and (c) your future athletic plans.
Note that each part should be addressed separately
.
a. Briefly describe your recent academic achievements.*
b. Briefly describe the role of athletics and scholarship in your personal development.*
c. Briefly describe what athletic endeavors you intend to pursue in the future.*
13. Recommendations
Please list the names, mailing addresses, phone numbers, and email addresses of three persons (teachers, coaches and others who are not relatives or fellow athletes) who will submit recommendations on your behalf. At least one should be a current relationship. Two should be able to attest to your participation and achievements in amateur athletics; one should be able to attest to your scholastic endeavors. Emails will automatically be sent out to the email addresses given below with instructions on how to submit a recommendation. Recommendations must be received by 2/14/2025. (Previous applicants are requested to submit new recommendations.)
Recommender 1
Name
*
Address
*
Phone
*
Email
*
Recommender 2
Name
*
Address
*
Phone
*
Email
*
Recommender 3
Name
*
Address
*
Phone
*
Email
*
14. Personal Background
In the space below, briefly describe up to five sports-related activities or accomplishments in amateur athletics during the past 12 months. Please provide specific examples.
Last 12 Months
Level
Type
Participant or Coach?
1.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Briefly describe the sport, activity, or accomplishments:
2.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Briefly describe the sport, activity, or accomplishments:
3.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Briefly describe the sport, activity, or accomplishments:
4.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Briefly describe the sport, activity, or accomplishments:
5.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Briefly describe the sport, activity, or accomplishments:
Last 5 Years
Level
Type
Participant or Coach?
From
To
1.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select
2024
2023
2022
2021
2020
2019
Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select
2024
2023
2022
2021
2020
2019
Briefly describe the sport, activity, or accomplishments:
2.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select
2024
2023
2022
2021
2020
2019
Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select
2024
2023
2022
2021
2020
2019
Briefly describe the sport, activity, or accomplishments:
3.
Select
Club or Intramural
High School and Junior Varsity
High School and Varsity
College/University
Select
Local
Conference
Regional
National
International
Other
Select
Participant
Coach
Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select
2024
2023
2022
2021
2020
2019
Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select
2024
2023
2022
2021
2020
2019
Briefly describe the sport, activity, or accomplishments:
What do you consider to be your best athletic accomplishment?*
15. Please indicate where you learned of the Illinois Athletic and Academic Strive scholarship*:
Faculty member or department
Poster
Website
Social Media
Other
In accordance with the requirements for the Strive Scholarship, I hereby certify that:
I intend to continue participation in amateur athletics as a means toward personal, physical, and mental development;
I intend to pursue athletic activities as an adjunct to career objectives rather than with professional athletic objectives.
I hereby certify that the factual representations asserted on this application are true. I understand that any misrepresentations may forfeit my consideration for this scholarship.
I agree with the above requirements for an Illinois Athletic and Academic Strive Scholarship.*
I do waive
I do not waive
my right of access to the information contained in any recommendations.*
I have reviewed the above information for accuracy and am ready to submit this application.*