LEAGUE OF WOMEN VOTERS OF CHESHIRE-WALLINGFORD
SCHOLARSHIP APPLICATION
Mail the completed application by April 18, 2008 to Donna Brown, 525 Squire Hill Rd., Cheshire, CT 06410.
Applicants must be:
· A female Cheshire or Wallingford resident
· Resuming education at a college, school or other occupational program to enhance occupational skills
· Minimum 21 years of age
Name ___________________________________ Phone _________________________
Address ________________________________________________________________
Occupation _____________________________________________________________
Age range (check one) 21-30
31-40 41-50 51+
Community activities:
Name of institution to which you have applied or have been accepted:
Estimated annual costs:
Tuition _______________ Books & Fees _______________ Other _______________
List of scholarships or financial aid which you have received or expect to receive:
_______________________________________ Amount _____________________
_______________________________________ Amount _____________________
(over)
LEAGUE OF WOMEN VOTERS OF CHESHIRE-WALLINGFORD
SCHOLARSHIP APPLICATION
PAGE 2
How do you plan to finance your educational expenses?
Savings _______________
Loans _______________
Other _______________ Specify:
Annual household income _______________
In at least 50 words, please tell us what is your motivation for returning to school:
Educational history (diplomas and degrees):
What are your educational goals?
_____________________________________________ _______________
Signature Date