CHAPTER SCHOLARSHIP APPLICATION

FOR 2020-2021 SCHOOL YEAR

Emporia Charter Chapter of American Business Women’s Association

Instructions for completing application:

Must be resident of Lyon, Chase, Greenwood, Osage, Morris or Coffey County.

Application to be completed by applicant. Any incomplete application will NOT be considered.

Please type or print clearly.

Attach the following to completed application:

A letter from high school counselor showing your transcripts including current GPA

OR copy of grades or transcripts from your College/University including current GPA

A biographical statement, including educational background, financial need, and other pertinent information about yourself.

Send completed application with attachments to normajs@cableone.net

OR ABWA Scholarship

Norma Stinnett

1325 Prairie

Emporia, KS 66801

RETURN TO ABOVE ADDRESS BY MARCH 31, 2020

Applicant’s Name:

Permanent Address:

Last four digits of Social Security Number: ____________

Phone:	Cell Phone _______________________ Age:

Marital Status:	Number of Dependents:	Are you currently employed?

Name of current or last employer (if any):

Position:	Salary/Wages: $

Source and Amount of Funds Available for 2020-2021 school year:

Parents: $	Own Income: $	Scholarships: $

Savings: $	Other: (spouse, relative, etc.): $

Have you previously received assistance from an ABWA Chapter? Yes	No

If yes, the amount received: $

Have you, or do you plan to make application to another ABWA Chapter? Yes No

If yes, the name of the Chapter:

CHAPTER SCHOLARSHIP APPLICATION 2020-2021

Of which county are you a legal resident:

How did you hear about the ABWA Scholarships? __________________________________

Identification of Individual(s) Providing Assistance

Name:

Relationship (Parent, Guardian, Spouse, etc.):

Address:

Place of Employment and Position for Parents, Spouse, Guardian

Father:

Mother:

Guardian/Relative:

Educational Institution Applicant Now Attending

Institution’s Name:

Address:

Your Major/Type of Training:	GPA:

Academic Classification (check one):

High School Senior: __________	College Freshman: ________

College Sophomore: __________	College Junior: ___________

College Senior: ______________	Graduate Student: _________

Other (specify): ______________

Educational Institution in Which Enrollment is Desired

Institution’s Name:

Address:

Course of Study:	Degree Sought:

Expected Date of Completion:	Tuition/Fees per Semester? $

Date Payment must be made:	Date Term Begins: __________________

CHAPTER SCHOLARSHIP APPLICATION 2020-2021

Emporia Charter Chapter of American Business Women’s Association

PLEASE WRITE a biographical statement, including educational background, financial need, and other pertinent information about yourself -- why are you going to school and what are your goals upon graduation. Note any other interests or abilities you would like to share-----