IDEA Scholarship Description (Inclusion, Diversity, Equity and Access)
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1 Purpose IDEA Scholarship Description (Inclusion, Diversity, Equity and Access) WACAC will provide scholarships to first generation, low-income students who are pursuing higher education in Wisconsin. Scholarship recipients will receive a one-time award of $500 to be used towards higher education expenses during the school year. Qualifications To be considered for the scholarship, applicants must meet all of the following criteria: Be of first generation background (neither parent having a 4 year degree). Demonstrate financial need and/or be eligible for free or reduced lunch. Minimum of a 3.0 cumulative grade point average (on a 4.0 scale) in all college preparatory courses. High school senior attending a WACAC member public or private high school in Wisconsin (membership list attached). Planning to attend a WACAC member 2 year or 4 year public or private college or university (membership list attached). Application Students must complete the scholarship application and submit all required materials listed on the application form. The application must be received or postmarked by March 31, 2016 to be considered for the scholarship. The application can also be found at Please use the key word IDEA Scholarship. Required application materials: Completed application Official high school transcript with test score word essay Counselor verification
2 IDEA Scholarship Application (Inclusion, Diversity, Equity and Access) The completed application must be received or postmarked by Friday, March 31, 2016 PART I: STUDENT INFORMATION (Please print or type) Date First Name Last Name M.I. Age Date of Birth [ ] Male [ ] Female Place of Birth Home Address (Street) (Apt. No.) (City) (Zip Code) Telephone number (Area Code) Mailing Address (if different) (Street) (Apt. No.) (City) (Zip Code) Racial or ethnic group (please check the following - Optional) [ ] African American, Black [ ] American Indian, Alaskan Native [ ] Asian [ ] Native Hawaiian, Pacific Islander [ ] Hispanic or Latino [ ] Multi-racial [ ] White
3 PART II: EDUCATION INFORMATION Name of High School Grade Name of high school guidance counselor Extracurricular Activities Please list any Extracurricular Activities (athletics, precollege programs, employment, clubs, etc.) Grade Level Hours Weeks Positions held, honors Activity per week per year awarded or letters earned What are your current plans for education after graduation from high school? List the WACAC member colleges/universities to which you have applied or plan to apply
4 On a separate document write a word response to the following essay question: Describe the most challenging obstacle you have had to overcome and discuss its impact. How you have learned from your experience? PART III: FAMILY INFORMATION Please check off the highest education level completed by those parent(s) or guardian(s) with whom you reside. Elementary School GED/High School 2 Year College 4 Year College Mother [ ] [ ] [ ] [ ] Father [ ] [ ] [ ] [ ] Guardian(s) [ ] [ ] [ ] [ ] Income: Check the approximate combined gross income (before taxes) of parents. Include in this estimate income from other sources (i.e., dividends, interest, property rentals and other investments, social security, child support, alimony, etc., if any). Failure to disclose family income could eliminate you from scholarships based on financial need. Less than $20,000 Between $50,000 and $64,999 Between $20,001 and $34,999 Between $65,000 and $79,999 Between $35,000 and $49,999 Between $80,000 and $99,999 $100,000 and over Ages of all dependents on parent income tax form Ages of dependents in college (excluding applicant) I certify that all information submitted is correct. By signing below you give WACAC permission to use your name, photo and/or video on association website or publications for the purposes of association use only. Student s signature Date
5 PART IV: COUNSELOR VERIFICATION The following information must be completed by the student s guidance counselor. Please keep in mind that we will not review the student s application without this verification form. Thank you for your time and your support of this student. Name of Student,, Last First MI Grade High School Name of Counselor, School Address Student s cumulative grade point average (GPA) is on a scale of Student s composite ACT or SAT score How long have you known this student and in what capacity? If you would like to share any information you think might be helpful to us, please attach it on a separate sheet of paper. Counselor s signature Date
6 IDEA Scholarship Application Checklist [ ] Completed Application with all appropriate signatures [ ] Completed Essay [ ] Transcript [ ] Counselor verification All required materials must be postmarked by Friday, March 31, Please send your application to the following address: WACAC IDEA Scholarship Committee Attention: Matt Mallum Northland College 1411 Ellis Ave. Ashland, WI 5480
7 WACAC Member Secondary Schools Adams-Friendship School District Appleton East High School Atlas Prepararatory Academy Augusta High School Bay Port High School Bayfield High School Brookfield Academy* Brookfield Central High School Cedarburg High School Craig High School DC Everest School District Edgewood High School of the Sacred Heart Franklin High School Hamilton High School Homestead High School Lac Courte Oreilles Ojibwe High School Luxemburg Casco High School Marquette University High School Messmer High School Muskego High School Nathan Hale High School New Lisbon High School Nicolet High School North High School Onalaska High School Oregon High School Osseo-Fairchild High School Plymouth High School Port Washington High School Regis High School Seymour Community High School St. Catherine's High School* St. John's Northwestern Military Academy The Prairie School* University School of Milwaukee Valders High School Veritas High School Washburn School District Waukesha West High School Waunakee High School West Bend East High School West Bend West High School Whitefish Bay High School Xavier High School
8 WACAC Member Colleges and Universities Alverno College Augustana College Beloit College Bradley University Cardinal Stritch University Carroll University Central Michigan University Concordia University Wisconsin - School of Pharmacy Cornell College Creighton University Edgewood College Indiana U-Purdue U Indianapolis Iowa State University Lakeland College Lawrence Technological University Lawrence University Luther College Marian University Marquette University Marquette University High School Mount Mary University Northern Michigan University Northland College Northwood University Ripon College Saint Louis University Saint Mary's College Saint Mary's University of Minnesota Silver Lake College* St. Ambrose University St. Norbert College University of Alabama University of Minnesota Duluth University of Wisconsin-Madison UW Oshkosh UW-Eau Claire UW-La Crosse UW-Madison UW-Marshfield/Wood County UW-Milwaukee UW-Parkside UW-Platteville UW-Whitewater Valparaiso University Vanderbilt University Viterbo University
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