SCHOLARSHIP APPLICATION Sarah Ann Madl Memorial Scholarship The Sarah Ann Madl Memorial Scholarship is an award for one incoming Washburn University freshman enrolled in WU 101-The Washburn Experience. The successful recipient will be awarded a $500 gift-card for the WU Bookstore. Please submit a completed application by: July 20, 2014, to: Dr. Alan Bearman Washburn University Mabee Library 1700 SW College Avenue Topeka, Kansas 66621 alan.bearman@washburn.edu The Scholarship Committee may choose to conduct interviews, either in person or by telephone, with applicants. By submitting an application, students agree to make themselves available for these purposes. ELIGIBILITY You are eligible for the Sarah Ann Madl Memorial Scholarship if: You are enrolled as a full-time student at Washburn University for the fall 2014 term You are enrolled in WU 101-The Washburn Experience for the fall 2014 term You write a 400 word essay about what it means to be an Ichabod. You submit the materials by the deadline listed above Note: In awarding the scholarship, the Scholarship Committee may give special consideration to students who attended Topeka High School, Randolph Elementary School and Robinson Middle School or who work for Lowe’s. 1 Sarah’s Story The story of Sarah Ann Madl began February 21, 1988 in Topeka KS. It should have been a long novel with each day a page and each year a chapter. But her story was cut short by a villain named colorectal cancer. Sarah is the daughter of Tom and Marsha Powell Madl. She attended Randolph Elementary, Robinson Middle School and graduated from Topeka High School where she was involved in the band, theater and tennis. Sarah was a senior at Washburn University, studying to be a librarian, a member of Sigma Alpha Iota Sorority and played in the WU Marching Band when she passed. Sarah loved books, music, coffee and, the love of her life, Will Arasmith, who was a constant source of strength and happiness to her. Sarah was a delight who was known to be an old soul. Sarah will always be a part of the Washburn University and Mabee Library families. 2 Sarah Ann Madl Memorial Scholarship Application (Please type or print neatly in black or blue ink) Note: you must complete all portions of the application, including high school information CONTACT INFORMATION STUDENT NAME: First MI Last BIRTHDATE: PERMANENT ADDRESS: Street Address City State Telephone ZIP Email address High School (Graduation Year): Current and Previous Employment: Personal Reference (Name and telephone number) 3 Essay Requirement In a typed 400 word essay, describe what it means to be an Ichabod. This could include your first experience with Washburn University, your family’s role in the decision to become a member of the Washburn family or anything else you think is relevant to your decision to attend Washburn University. Attach your essay to the application and certification statement listed below. CERTIFICATION STATEMENT AND INFORMATION RELEASE To the best of my knowledge and belief, I, , (please print your name) hereby certify and acknowledge that the information on this application is true and correct. I authorize Washburn University to share my name and information with the donor or donor representative of the scholarship fund. If I am awarded this scholarship and accept this scholarship, I agree that my name, photograph, and general student information (high school, university, year, etc.) may be shared in any media release publicizing the scholarship. Applicant Signature Date Signature of parent or guardian if applicant is under the age of 18 Date 4