Wisconsin Alumni Association: Twin Cities Chapter

2017 Scholarship Application

The Wisconsin Alumni Association: Twin Cities Chapter is offering scholarships for current high school seniors who will be pursuing a degree at the University of Wisconsin-Madison beginning in the fall of 2017. Students must be accepted to the UW-Madison and currently attend a high school in the 7-county Twin Cities metro area (Anoka, Dakota, Carver, Hennepin, Ramsey, Scott and Washington counties). Scholarship awards are paid directly to the university and applied towards freshman year tuition. The amount of each scholarship awarded may vary. Completed applications must be received by 11:59PM Tuesday, February 28th, 2017.

Name:______Date of Birth:______Male____ Female______Current Street Address:______Years at this address?______City/State/Zip:______Campus ID #:______Telephone:______E-mail:______High School:______Date of Graduation:______High School Address:______Class Rank:______out of______Grade Point Average:______

Your completed application will include the following documents:

_____ Answers to all application questions

_____ Copy of high school transcript

_____ Two letters of recommendation from someone other than family or friends (i.e., employer, high school faculty, church leader, etc.)

_____ Family Educational Rights & Privacy Act (FERPA) release

Why do we ask for Campus ID and FERPA forms? In the event of being awarded a scholarship, your Campus ID is needed to link your student account to the scholarship payments. Additionally, FERPA information helps establish a level of financial need. Even if you think you don't have a financial need, we would encourage you to submit the FERPA form.

Additionally, if you are selected to receive a scholarship, we will require the following during/following your freshman year at the University of Wisconsin-Madison:

1. Your on-campus mailing address and email address (no later than October 6th, 2017).

2. One letter to the WAA: Twin Cities Chapter describing your first semester on campus (by December 31, 2017).

3. Attendance at one of the following events:

• Annual Founders’ Day Dinner (Spring 2017), or

• Senior Send-Off Picnic (late July/early August 2017) Application Questions

Have you applied to attend the University of Wisconsin-Madison? Yes _____ No _____

Have you been accepted? Yes _____ No _____

What month/year would you start at Madison? ______

Father's Name:______U.W. Graduate? Yes___ No___ Year of Grad.:______

Mother's Name:______U.W. Graduate? Yes___ No___ Year of Grad.:______

Please provide a comprehensive answer to each of the following questions. You may add additional space/ pages as necessary.

1. List and describe, as necessary, your high school extracurricular activities (i.e., clubs, yearbook, newspaper, drama, sports, etc.). Include the amount of time you spend on each activity.

2. List and describe, as necessary, activities outside of school (i.e., community, volunteer, church, synagogue, etc.). Include the amount of time you spend on each activity.

3. List your hobbies/interests.

4. Do you have a job outside of school? If so, please describe it and include your hours/week.

5. How did you find out about our scholarship? (if “online” please list the specific website)

6. How do you plan to finance your education and related expenses? (Indicate % from work, savings, scholarships, family, etc.)

7. In 150 words or less, describe your goals and course of study at the University of Wisconsin-Madison, your intended major, and your expectations of the University of Wisconsin-Madison.

Signed: ______Date: ______

Please e-mail your completed application to [email protected].

Please title the subject of your e-mail “Your Full Name-2017 WAA-TC Chapter Scholarship Application” and be sure to include all necessary documents in the e-mail.

Please either include your letters of recommendation in your e-mail or have your letter writers e-mail them to [email protected], titling the subject of the e-mail “Your Full Name-2017 WAA-TC Chapter Scholarship Letter of Recommendation.”

If you have questions regarding this application, please call Jake at 920-960-7491. After reviewing the applications, the WAA: Twin Cities Chapter will develop a list of individuals selected for interviews. You will be contacted regardless of whether you have been selected for an interview. Late or incomplete applications will not be accepted. If you would like us to consider your financial need, please fill out and sign the form below and include it with your completed application.

TO: Wisconsin Alumni Association Scholarship Applicant

FROM: Wisconsin Alumni Association

Family Educational Rights & Privacy Act (FERPA) Release

The scholarship award for which you are applying may contain funds donated to local chapters, WAA, UWMadison or the UW Foundation. At times, local chapters may need information regarding applicants that may include financial need, class rank, test scores and grade point average. In order to release this information, we need your consent. If you check the “Yes” box below, you are giving your consent to release this information.

By circling “Yes” below, I agree to the release of information as described above.

Yes, I agree to release of information.

No, I do not agree.

Student Signature: ______

Date: ______

Campus ID#: ______

Net ID#: ______

Date of Birth: ______