NONTRADITIONAL SCHOLARSHIP APPLICATION NAME: _________________________________________________________________________________________ Last First Middle ADDRESS: _____________________________________________________________________________________ # & Street City State/Zip Student ID #: ___________________Marital Status: ______ Phone:________________Date of Birth:_____________ S (Single) D (Divorced) M (Married) W (Widowed) No. of Children: _________ Age(s): ___________________ Status as of Sem II: FR SOPH JR SR Credits Earned at UWSP: _________ Estimated Date of Graduation: ___________ UWSP CUM GPA: ________ Intended Major at UWSP: _________________________ Projected Credit Load for Fall Semester: ______________ LIST ACTIVITIES, both on the UWSP campus and in the community, in which you are or have been involved since returning to college: _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ GOALS AND AMBITIONS - On a separate sheet, please state your goals and ambitions in one hundred words or less. Additional comments which you feel might strengthen your qualifications for a scholarship are welcome, e.g., financial need. ONE LETTER OF RECOMMENDATION from a faculty member MUST accompany your application or may be sent directly to the University (address below) Name of Person Sending Recommendation: ___________________________________________________________ Name Department Applicant's Signature: _____________________________________________ Date: ________________________________ Awards will be deposited to recipients’ bursar’s accounts prior to the start of the fall semester. RETURN THIS COMPLETED APPLICATION TO: Terri Taylor, UWSP Alumni Affairs & Foundation 2100 Main Street, Room 134 Stevens Point, WI 54481 PLEASE CHECK ONLY THOSE SCHOLARSHIPS FOR WHICH YOU QUALIFY. “NONTRADITIONAL STUDENTS” ARE DEFINED BY UWSP AS UNDERGRADUATE DEGREESEEKING STUDENTS 25 YEARS OF AGE OR OLDER. _______ ELIZABETH PFIFFNER DEBOT MEMORIAL SCHOLARSHIP (Female, over 25 years old, single parent, demonstrated financial need. Academic scholarship may be considered. Previous recipients may reapply.) _______ VIVIAN & LULU KELLOGG SCHOLARSHIP (B average or better in field of History, Music, Education or Natural Resources; non tobacco user.) _______ DICK TOSER MEMORIAL ALUMNI SCHOLARSHIP (Must have at least 9 credits and a minimum 3.2 gpa; 25 years of age or older.) Please note: Applications not selected in the Spring for one of the above scholarships will be submitted for consideration for the Alpha Phi Omega Scholarship selected in September. Criteria for this scholarship are: nontraditional undergraduate student with minimum of 24 credits earned, good character, citizenship, financial need, and academic excellence.