University of Wisconsin–Madison Division of Continuing Studies

2005 Madison Business & Professional Women
Scholarship Application

Name

Date

Street Address

City, State, Zip

Phone

E-mail (If contact nformation will change, please indicate alternative address,etc.)

Program/Degree Year in School
   

# of Credits to be taken Fall 2005 Cumulative GPA
   

Institution Attending

Address


City, State, Zip


Leadership Information

Community Involvement (List organizations in which you have been active)

Name of Organization Dates of Involvement Level of Participation
     
     
     
     


Employment

Name of Employer Phone # Dates Employed
     
     
     
     

Financial Assistance (Loans, grants, scholarships)

Type Amount Date received
     
     
     
     

Add additional sheets, as necessary.

I certify that the above information is true. I understand that fraudulent information will result in disqualification. I understand that the Business & Professional Women organization has the right to verify all information on this application.

Signature

Date

For further information, contact

Cindy Leatherman, phone 608-273-1005 Ext 102 (day); e-mail cleather@bsamail.org

2005 Madison Business & Professional Women
Scholarship Application Personal Essay

Please answer the following questions on a separate page(s) and return with application materials. Limit your responses to approximately 200 words per questions. Include your name on each page submitted.

  1. Tell us about your career objectives.
  2. Why should we consider you for this scholarship?
    In your response, include why you need financial assistance to attend school.
  3. What challenges do you anticipate in reaching your career goal, and how do you plan to address those challenges?

 

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www.dcs.wisc.edu • Updated August 21, 2006