WWCPA SCHOLARSHIP APPLICATION FORM

This application will be used for scholarships offered throughout the academic year. Scholarship awards are to be applied towards tuition, fees, books, supplies and/or equipment required for the courses at the educational institution. You are responsible for reading the requirements of the scholarship application process and submitting all information on or before the specified deadline.

Fall Semester or Quarter – Deadline by October 28

Spring Semester or Quarter – Deadline by March 18

PLEASE READ ALL DIRECTIONS CAREFULLY:

The following information must be submitted with this application. It will not be accepted separately.

Submit five (5) copies of the completed application and attachments.

  1. Submit two (2) letters of recommendation.
  2. Attach a copy of a certified transcript of all high school or college courses taken to date, whichever transcript is most current; (photocopy of official transcripts is acceptable)
  3. Attach a copy of your current class schedule, if you are attending high school or college;
  4. Attach a copy of the letter of acceptance from the college or university you will attend, or a statement explaining your acceptance;

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

YOU MUST SIGN YOUR APPLICATION.

RETURN COMPLETED APPLICATION TO:

WWCPA Scholarship Fund

c/o Wastewater Collection Personnel Association

Attn: Bill Peacock

3414 E 44th Ave
Spokane, WA 99223

PLEASE PRINT OR TYPE:

Name:______SS#______- ___-______

LastFirst MI

Address:______

City State Zip

Phone:______Major:______

College Units Completed ______Units Enrolled______Cumulative GPA:______

I. Schools Attended Dates of Attendance Diploma/Degree

High School ______

College(s) ______

______

II. In a briefstatement, describe your career interest.

III. In a brief statement, describe your educational goals and accomplishments, both short-term and long-term, and proposed academic major.

IV. In a brief statement, describe how this scholarship will help you reach your goals.

V. In a brief statement, describe your financial need and list any other scholarships you are

receiving.

  1. In a brief statement, describe your past and current extracurricular activities, including

Community service, and other involvement.

VII. In a brief statement, add any additional information that you would like the committee to

know in considering your application.

I, the undersigned verify that I am the sole author of this application and that all statements herein are true and factual to the best of my knowledge. I have read the criteria for the scholarship for which I am applying and believe I am eligible.

______

Signature of Applicant Date

STATUS

YES

  • I am a spouse/domestic partner of a WWCPA Member______

Number of years of WWCPA Membership for spouse/domestic partner ______

Employee’s Name: ______Agency: ______

YES

  • Child/Dependent of a WWCPA Member______

Number of years of WWCPA Membership______

WWCPA Member Name: ______Agency: ______