Scholarship Application Form

First Name

Middle Initial

Last Name

ID#

Street Address

City

State

ZIP Code

Email Address

Phone Number

Birth Date

Place of Birth

Citizenship

Major

Degree Program

Class Standing

Registration Status

GPA

Involvement

List current or past significant memberships and offices held in student, church or community organizations. Please include the name of the organization, position or office(s) held and dates of involvement.

Existing Financial Assistance

How much other financial assistance will you be receiving for the coming academic year? List all sources and amounts, including any employment income, large gifts or subsidies.

Career Goals

Please describe your career goals and how this scholarship will further those goals.

I understand that two letters of recommendation from professors and/or individuals who are not relatives are required.
I will request that the responder send the recommendation letters to wsc@andrews.edu.