Student Scholarship Application

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

WIN Number REQUIRED Please fill out this field. Please enter valid data.

What scholarship are you applying for? REQUIRED Student Assistant to Director 24-25 Musician Spring 25 Please fill out this field.

Are you a full time or part time Washburn University Student? REQUIRED Full TIme Part Time Please fill out this field.

What is your last semester GPA? REQUIRED Please fill out this field. Please enter valid data.

Are you a registered member of God's Bods at the Catholic Campus Center? yes no

Do you have experience with design software? REQUIRED yes no Please fill out this field.

Do you have experience with website design ? REQUIRED yes no Please fill out this field.

Availability Monday - Thursday. REQUIRED

Please list the hours you are available Monday, Tuesday, Wednesday, and Thursdays.

Please fill out this field. Please enter valid data.

Last Completed Year of Education REQUIRED Please fill out this field.

Highschool, Tech- school or Universities attended. List degrees, certificates, or credits obtained. REQUIRED Please fill out this field.

List 3 References REQUIRED

List 3 references of people who are not your previous employer, family or friends. Include Name, Address, Phone number and Email of each reference

Please fill out this field.

Employment Experience #1 Employer Name, Address, phone number, email, dates of employment, Supervisor name and contact information. Reason for leaving. REQUIRED

Employment Experience #1 Employer Name, Address, phone number, email, dates of employment, Supervisor name and contact information. Reason for leaving.

Please fill out this field.

Employment Experience #2 Employer Name, Address, phone number, email, dates of employment, Supervisor name and contact information. Reason for leaving. REQUIRED

Employment Experience #1 Employer Name, Address, phone number, email, dates of employment, Supervisor name and contact information. Reason for leaving.

Please fill out this field.