IRA Educational Foundation
Scholarship Application 2004-2005
For more information regarding this application, please refer to the cover letter of the Scholarship Application, the list of Scholarships Available for 2004-2005, and the Instructions for Scholarship Application, or visit the IRA Educational Foundation website at www.illinoisrestaurants.org. You may also contact the IRA Educational Foundation office at (800) 572-1086 or (312) 787-4000, x146.
This entire application must be typed and fully completed. An electronic version of this application is available online at www.illinoisrestaurants.org. A word-processed document may be used in place of this application only if presented in the exact order of this application. Handwritten applications will not be submitted for judging.
Every question must be answered. If you think a question does not apply to you, mark “N/A” in the space. If this application contains any blank spaces, other than in the sections marked "optional", it will be considered incomplete and will not be submitted for judging.
We recommend that applicants make a full copy of the completed application and all supporting documents before submitting the application package to the IRA Educational Foundation. The Foundation cannot be responsible for incomplete application packages.
Section 1 · Personal Information
First Name Middle Initial
City County State
Parent/Back-up Phone Number
Social Security Number (required)
Date of Birth
Picture: Yes, I have included my picture with this application, and consent to it being used by the IRA Educational Foundation for marketing purposes
Sex: Female Male
American Indian or Alaskan Nativ
Asian American or Pacific Islander
Section 2 · Application Information
A. General Application Information
Yes, I graduated / will graduate from a ProStart high school · Year
Yes, I earned / will earn a ProStart certificate · # · Year
No, I did not graduate from a ProStart high school and did not earn a ProStart certificate, but I am eligible to apply for an IRA Educational Foundation scholarship because I am pursuing a post-secondary degree in foodservice/hospitality management.
B. Have you received a scholarship from the IRA Educational Foundation before?
No Yes · Year
If Yes, Scholarship Awarded
If Yes, Career Mentor Name
What are your area(s) of interest? Please circle all that apply.
Corporate / Healthcare / School / On-site foodservice
Food science / Research & Development
Hotel Food & Beverage
Independent restaurant management
Multi-unit concept management
Quick service restaurant management
Supply & distribution
Section 4 · School Information
A. Current school information
I am currently a High School student
I am currently a College student
I am not currently a student, but I intend to enroll for 2004-2005
Current School (attending during 2003-2004)
Current School's Address
Cumulative GPA (out of 4.0 or ) indicate if GPA is not based on a 4.0 scale
Section 4 · School Information, continued
B. School at which scholarship would be used - General Information
I have been accepted for Fall 2004
I applied, but am not yet accepted, for Fall 2004
Future College/University (attending 2004-2005)
Address of Financial Aid Office
Financial Aid Office Phone Number
My school is: Private Public & I receive in-state tuition Public, but I don't receive in-state tuition
School Fees: Tuition
C. School at which scholarship would be used - Academic Information
My Goal: Associate’s Degree Bachelor’s Degree Other
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