Scholarship Application

Scholarship Application

Please complete the application form and submit by April 30, 2024. Your answers cannot be saved prior to submission, so you may want to compose your answers offline first. If you feel that any questions don’t apply to you, just type n/a in the field. All fields are required.

Name

First Name

Last Name

Full Address

Please include street name, city, state, and zip code

Phone

(###)

###

####

Age

Please provide your age at the date of application.

Number of Dependents

Please indicate the number of dependents who rely on you for care or financial support.

Institution

Please list the college, university, or trade school that you attend (or are planning to attend). In order to qualify for this scholarship, the school must be within 25 miles of Columbus, GA

Admission Test Score

Admission Status

Student ID

Please provide your school-issued student ID number. This allows us to direct scholarship funds directly to your institution.

Previous School(s) Attended

Please include institution name, city/state, cumulative GPA, and dates attended (range) if applicable. NOTE: Please send transcripts from any previously attended institutions to info@networkforprofessionalwomen.com.

Extracurricular Activities and/or Awards

Please indicate your extracurricular activities as well as any awards or achievements.

Civic Leadership

Please describe any civic or community service, volunteering, etc., as well as any awards or achievements.

Other Financial Support

Please explain and indicate status of any other scholarships or financial aid that you are currently receiving.

Essay

Please provide a brief (300 word) essay on how you define leadership and how you see yourself in a leadership role.

References

Please provide name, address, phone, and email for three references. One of these references can be a Network member.

Scholarship Application

Network for Professional & Executive Women