ALPHA A. WETENKAMP CHARITABLE TRUST

SCHOLARSHIP AWARD APPLILCATION

Please type or print in black ink, your answers to all questions. The completed form, your letter of application, transcript and letters of recommendation should all be mailed to ATTORNEY ALFRED A. DROSEN, JR., 2448 South 102nd St., Suite 170, West Allis, WI 53227.

1. Name:______

2. Address:______

City, State, Zip:______

3. Telephone:______

4. Date of Birth:______

5. Name of college or university at which you have completed one or more years of study majoring in areas of study specified above.______

______

6. Grade Point Average--Last Semester:______Overall:______

7. Academic Achievements (Awards, Medals, Honors, etc.):______

______

______

8. Other achievements (include extra-curricular activities):

______

______

______

9. List your work experience (if any) while attending school:

Job Description Employer Dates of Employment Hrs./Weeks

______

______

______

10. Civic and community activities:______

______

______

11. A copy of your transcript of grades from prior year and letters of recommendation from two instructors endorsing your application and commenting on your academic performance and academic promise in the area of study set forth herein must be attached to this application.

The letters must give reasons why you are recommended for the scholarship. Please bear in mind that the scholarship is only available to students who are going to pursue a degree in German.

The letters of recommendation must be addressed to the Alpha A. Wetenkamp Charitable Trust and they cannot be a "To Whom it May Concern" letter.

12. Your major or intended major:______

13. Name of college or university that you are presently attending:______

______

14. Attach a letter stating your objectives for the future.

15. Amount of your income last year: $______

16. Gross amount earned by father and mother last year: $______

17. State the size of your family living at home with father and mother

______

18. Please indicate the percentage of your financial support THIS YEAR that is coming from the following (should add up to 100%).

Parents ______% Savings ______%

Spouse ______% Trusts ______%

Earnings during the year ______%

Other ______% (please specify)______

______

19. Are you currently receiving financial aid from your university or college?

______If so, how much? $______

20. What scholarship(s) have you applied for and what, if any, scholarships have been awarded to you? (Please list scholarship and amount.)

______

______

______

Signed and dated this _____ day of ______, 2012

______

Signature of Student

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