University of Wisconsin - La Crosse Foundation, Inc. | Supporting the purposes and programs of UW-L | Scholarship Program | Scholarship Application

UW-L Foundation Freshman Scholarship Application
Web site: http://www.foundation.uwlax.edu/sch.html

Instructions:
(1) Complete Application except for SCHOLARSHIP NAME, List of criteria and Description of how you meet each criterion.

(2) Make enough copies of this Application for each scholarship for which you are applying.

(3) Fill in the SCHOLARSHIP NAME. One Application is required for each scholarship for which you are applying.

(4) In the column so indicated below, list each criterion for the scholarship (as set forth in the attached pages listing the scholarship criteria or from the Web site listed above) and then, in the other column, below, opposite each criterion, describe in a brief statement how you meet/satisfy that criterion.

(5) No letters of recommendation are required unless otherwise stated in scholarship criteria.

(6) Completed packets (stapled in the upper left hand corner) should be returned to your high school guidance director. One completed application is required for each scholarship for which you are applying. Ask the guidance director to attach your high school transcript with the first quarter of senior year and including the ACT results, to each application and mail to this office on or before Feb. 15 . A completed packet includes this Application, your Transcript including the ACT results and letters of recommendation where requested. Incomplete applications or applications not meeting the criteria will not be considered. Questions should be directed to Sara Olson at (608) 785-8491.

SCHOLARSHIP NAME:

List the criteria for this scholarship:

Describe how you meet each criterion:

Name
Home address
City State Zip
ID Number
Home telephone
Gender Male Female
High School
Intended college major
Have you made application for admission to UW-L Yes No
Will you be applying for financial aid through the UW-L Financial Aids Office? Yes No
If yes, what was your parents’ combined total adjusted gross income for last year? Adjusted gross income is on IRS Form 1040 line 37; 1040A line 21; 1040EZ line 4 or TeleFile line k(2). $
How many people are in your household other than yourself and your parent(s)?
How many other people will be college students between July 1, and June 30?

1. Activities in which you have participated while in high school, including length of participation and offices held
(or attach resume).

2. Identify honors, awards, scholarships or other recognitions you have received while in high school (or attach resume).

3. On a separate piece of paper type a short summary (no more than 300 words) about yourself, your career plans and why you should be awarded this scholarship.

The above information is correct and complete to the best of my knowledge. I understand, agree, and consent to the use by the selection committee of the information contained in and submitted with this application. I am aware that the letters of recommendation (when required) may be verified. I understand any award made is contingent upon my enrollment at UW-L as a full time student (unless otherwise stated) at the time the award is paid. I hereby state and affirm that I do meet all the criteria for the scholarship for which I am applying. I understand that awards from this application are being made for the 2006-2007 academic year payable in two equal installments in September and January. I further understand the Foundation and university reserves the right to publish names of scholarship recipients.

Signature

Date

GUIDANCE DIRECTOR:
Please attach a student’s high school transcript, including ACT results, to each scholarship application, complete below and send to:

UW-L Foundation
Attn: Scholarship Coordinator
615 East Ave N
La Crosse, WI 54601

Number of students in class Applicant’s rank in graduating class
ACT composite score Current GPA on a point scale

Signature of guidance director

Phone

Scholarship files (including the letters of recommendation where applicable) and other records of the UW-L Foundation, Inc. are confidential and not available for inspection without the UW-L Foundation's prior written consent.

Scholarship Applications Due: POSTMARKED ON OR BEFORE Feb. 15.