Scholarship Application

Scholarship Form

Scholarship Application

Application is Due by March 15, 2024

General Information:

First Name

Last Name

Street Name

City

State

Zip

Phone

Name of Parent 1

Name of Parent 2

Academic Information:

Rank in Class

Number in Class

SAT or ACT Conversion Score

Cumulative GPA after 7 semesters

Written Questions:

Extra-Curricular Activities: (Organizations, athletics, music, etc.) Show years of involvement and offices held:

Honors & Awards:

Community and/or Other Activities:

Are you Employed?

Yes

List your employer, job title, and approximate hours you worked per week.

State of 100 words or less to include Course of Study for College, Proposed Occupation or Profession, Future Goals, and other information pertinent to the award which has not been previously mentioned on this form.

0 of 100 max words

Attachments:

Copy of High School Transcript to date

Maximum file size: 26.21MB

Essay on “What are the benefits of being a Cooperative Member” essay must be at least 1 Page (8 ½ x 11) and be typed and double-spaced.

Maximum file size: 26.21MB

Any other information pertinent to the award.

Maximum file size: 26.21MB

For questions regarding scholarships, please call (618)665-3311 or email info@wabash.net.

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Phone

618-665-3311

Toll Free

(800) 228-9824

24/7 Customer Support

info@wabash.net

Monday - Friday

8:00 a.m. to 5:00 p.m.

Locations

14415 US HWY 45
Louisville, IL, 62858

123 E Main Street
Salem, IL, 62881

113 Hagen Drive
Flora, IL, 62839

102 N Main Street
Dieterich, IL, 62424

“This institution is an equal opportunity provider and employer.”

Scholarship Application

Scholarship Application

General Information:

Academic Information:

Written Questions:

Attachments:

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