KWEA University / College Scholarship Application

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General Information

Full Name(*)

Please type your full name.

Email(*)

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Phone(*)

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Permanent Address(*)

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City(*)

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State(*)

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Zip(*)

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Current Address(*)

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City(*)

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State(*)

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Zip(*)

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Date of Birth(*)

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mm/dd/yyyy

High School Attended(*)

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City(*)

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School Information

Currently Attending(*)

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Name of School(*)

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Location of School(*)

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Major Field of Study(*)

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Current GPA(*)

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Assistance Sought For(*)

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Certificate / Degree Sought(*)

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Hours Completed(*)

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Hours Required(*)

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Honors Earned in School / Job

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Extracurricular Activities

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club memberships, office held, leadership positions, etc.

Undergrad Info

Name of School(*)

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Location of School(*)

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Major Field of Study(*)

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Certificate / Degree Earned(*)

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Undergrad GPA(*)

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Honors Earned in School / Job

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Extracurricular Activities

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club memberships, office held, leadership positions, etc.

Advisor Information

Academic Advisor (Name)(*)

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Office Address(*)

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Office Phone(*)

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Fax

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Email(*)

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Job History

List jobs you have held since entering college/university.

Date (From/To)

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Employer (Name & Address)

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Job Description

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Add Another Job?

YesNo Invalid Input

Date (From/To)

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Employer (Name & Address)

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Job Description

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Add Another Job?

YesNo Invalid Input

Date (From/To)

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Employer (Name & Address)

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Job Description

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Add Another Job?

YesNo Invalid Input

Date (From/To)

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Employer (Name & Address)

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Job Description

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Essay

In your essay, please explain why you are interested in the environmental field. (500 words maximum)

Essay(*)

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Certification

By submitting this application, I certify that the information contained within is complete and accurate. I will use any assistance given me only for the purpose of furthering my environmental education. I will conduct myself as a responsible scholar and apply myself industriously to my studies and scholastic opportunities. I will refrain from any activity which might bring disrespect upon myself, my school, my community, and/or the Kansas Water Environment Association. Upon graduation, I will endeavor to assist other students as I hope to be helped.

(*)

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University Scholarship Application

General Information

School Information

Undergrad Info

Advisor Information

Job History

Essay

Certification