UW-Platteville Community Scholarship Application

Please complete the following information to apply for a Community Scholarship.

The goal of this award is to aid and assist worthy and deserving new freshmen students from specific high schools located in Wisconsin, Iowa, Illinois & Minnesota. These are well-rounded individuals with a strong desire in becoming a UWP Pioneer. They are also involved in community, family and school activities.

The deadline to submit an application is MARCH 1, 2010. Applicants selected to receive the scholarships will be notified in late March.

* Required

First Name * Full Name

Middle Name

Last Name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Phone number * please include area code

Email Address * please provide a valid email address

Date of Birth * MM/DD/YYYY

Intended Major *

Please select the status that best describes you. *

I have applied and been admitted to UW-Platteville.
I have applied to UW-Platteville, and am awaiting my admission status.
I have not applied to UW-Platteville, but intend to do so.
Other:

Name of High School from which you will be graduating * Please write out the entire name of your high school.

Anticipated date of high school graduation * ex. MM/YYYY

Name of county in which your high school resides *

Please check the College you intend to enter. *

College of Business, Industry, Life Science, and Agriculture
College of Liberal Arts and Education
College of Engineering, Mathematics, and Science

Describe the contributions you have provided to your community, high school and family throughout your high school career. Be sure to include any information you feel sets you apart from others applying for this scholarship. *