2016 W.A.P.L. SCHOLARSHIP FUND APPLICATION
Information provided may be used for publicity purposes.
NOTE: You must be a dependent of a W.A.P.L. member or a W.A.P.L. member to apply for this scholarship
Applicant Name:
Social Security No.:
Permanent Address:
Mobile/School Phone:
School Address:
Home Phone:
Father’s Name:
Mother’s Name:
Father’s Employer:
Mother’s Employer:
SAT / ACT Score:
GPA (4.0 scale):
College, University or Vo-Tech:
Class
Rank:
Class Size:
City:
State:
Class Status in Fall 2016:
Freshman
Sophomore
Junior
Senior
Graduate Student
Degree, Major or Vocation:
Scholarships Available:
1.
2.
3.
4.
General Area of Study – Maximum of $1,000.00
Energy Business (e. g. Geologist, Petroleum Engineer) – Maximum of $2,000.00
Professional Land Management – Maximum of $3,000.00
University of Wyoming, Professional Land Management – Maximum of $5,000.00
Restriction: WAPL By-Laws, Article XII, Section 5. Applicants for Scholarship may apply and re-apply for a
maximum of four (4) years.
I acknowledge that I meet the criteria necessary to apply for this scholarship and that all the information I have
provided is correct and true. In the event there is a change to my educational intentions as stated above, prior to or
during the 2016-2017 academic year, I shall promptly notify the WAPL Scholarship Committee with the
understanding that any scholarship monies awarded to me may be subject to refund in whole or in part.
Student Signature
Date
Parent Signature (If Applicant is a Dependent of W.A.P.L. Member)
Date
The following information must be attached on separate pages:
1. Transcript: A copy of your current transcript MUST be attached to this application.
2. Compose a brief essay/description of:
A. Activities you have participated in school and in your community, including employment, volunteer activities
and hobbies.
B. General Information about yourself which would provide a fuller portrait of you as applicant, including your
goals and aspirations.
3. Submit one reference letter from a teacher, counselor, or employer.
4. Applicants applying for a Professional Land Management scholarship may be required to participate in a phone/
video conference or a personal interview.
Return completed application to:
W.A.P.L.
Deadline to Submit Application:
P. O. Box 1012
Wednesday, March 23, 2016
Casper, WY 82602
Or, you may also submit applications electronically with scanned copies to blake@hooverstacy.com
For any questions, please contact: Blake R. Bohac (308) 235-7339