WRIGHT STATE ORGANIZATION FOR WOMEN

SCHOLARSHIP APPLICATION

 Eligibility Criteria and Essay Requirements

Application Deadline is April 30, 2004.

Please type or print in dark ink.

 

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Name/Last                                            First                              Middle                          Birthdate

 

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Street Address                                      City, State          Zip                                          County

 

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Social Security Number                         Telephone                                             Hometown Newspaper

 

List any activities, honors, and/or awards you have received.

 

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____________________________________________________________________________________

 

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List extracurricular activities and any offices held.

 

___________________________________________________________________________________

 

___________________________________________________________________________________

 

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Release of Information:
I authorize the release of all scholarship materials, including references, transcripts, and financial information (if I wish to be considered for need-based scholarships), to the members of the selection committee.  In the event I am awarded a scholarship, information on this page may be released to the media and grade reports may be released to the sponsor(s).

I certify that I have read and complied with the directions and deadline dates for applying for Wright State scholarships.  I have attached the required essay for the scholarship for which I am applying.

 

 

________________________________________                            ________________________

Signature of Applicant                                                                           Date

 

Please return application form, typed essay, and recent transcripts (if transfer student) to: 

Assistant Director for Scholarships and Outreach
Office of Financial Aid
E136 Student Union
Wright State University
Dayton, OH  45435-0001

Application Deadline is April 30, 2004.