The
Association
for Women
in Communications
Bloomington-Normal Chapter Student Scholarship application
Application date ______________ (Must be submitted by April 25, 2007.)
Contact Information
Name ________________________________________________________________________
Home address __________________________________________________________________
City/State/Zip _________________________________________ Phone___________________
School Address ________________________________________________________________
City/State/Zip _________________________________________ Phone___________________
Education
Degree sought
_________________________________________________________________
Major(s) __________________________________
Minor ________________________
Courses completed towards degree
_________________________________________________
______________________________________________________________________________
Class status: Junior___ Senior___ Grad student___ Full-Time___ Part-Time___
Current GPA ____ on a scale of ____ Communication GPA _____ on a scale of _____
Activities
Member of AWC? Yes No Student chapter member? Yes No
Chapter Name _________________________________________ Date joined _____________
Communication Offices/Committees ________________________________________________
______________________________________________________________________________
Communications Honors/Awards __________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Communication work (volunteer or paid) ____________________________________________
______________________________________________________________________________
ญญญญญญญญญญ
______________________________________________________________________________
Employment
Are you currently employed?
Yes ___ No ___
Name of current employer ________________________________________________________
Address ______________________________________________________________________
City/State/Zip ________________________________________ Phone__________________
Position __________________________________________ Hours worked per week ______
Funding
Scholarship funds are to be used for what semester?
___________________________________
Projected cost for semester: Tuition/fees $_____________ Books $_________________
Amount of funds available for semester in which scholarship fund is requested:
Parents $____________ Own income $____________ Savings $_______________
Other Scholarships $____________ Obtained from _____________________________
Grants $______________________ Obtained from _____________________________
References
Names, titles, and contact information of three references:
1) ________________________________________________________________________
2) ________________________________________________________________________
3) ________________________________________________________________________
How to apply
Attach a 200-word essay (maximum) about your career goals and why this scholarship would help meet those goals.
This application, essay and three letters of recommendation are due no later than Wednesday, April 25, 2007. Information can be e-mailed to bree.davis@mcleancountyil.gov, mailed to: Bree Davis, McLean County Health Department, 200 W. Front St., Bloomington, IL 61701; Call Bree at 309-888-5489 with any questions.
Thank you for your interest!