AWC-DC Student Affairs

2009-2010 Scholarship Application

The AWC-DC Matrix Scholarship is made possible by the generous support of PRofessional Solutions, LLC. For more information on the scholarship, click here.

To apply, please use the following form and click on Send application. For additional information and questions, please contact Ady Dewey, AWC-DC Student Affairs Committee, at ady@ideasandvision.com.

Deadline: Complete application packages must be received by Thursday, April 23, 2009, 5pm ET.

indicates a required field.

Name and education status:

Name:

College or University:

Class: Junior Sophomore
Anticipated Graduation Year:

Current address:

Street 1:

Street 2:

City:

State:

ZIP Code:

Permanent address:

Street 1:

Street 2:

City:

State:

ZIP Code:

Contact information:

School Phone: Fax:
Home Phone:
E-mail:

Contact preference:

E-mail School phone Home phone Fax

Scholastic achievement:

Majors:

Minors:

Grade Point Average in Major:
Overall GPA:
Academic scholarships awarded:

Communications activities:

Are you a member of AWC-DC? Yes No

500-word essay:

How will your present communications-related activities contribute to the achievement of your career goals?

Essay must be typed, double-spaced. Please mail your essay with a signed copy of the application along with:

A recommendation from a professor who teaches in the department of your major course of study.
A recommendation from a supervisor or someone who can comment on your professional experience or another professor (any discipline).
An official, current transcript of your grades.

I attest that the information provided herewith and that accompanies this application is true to the best of my knowledge. I furthermore understand that any misrepresentation of fact or the inclusion of nonfactual information in this application and its accompanying materials will automatically disqualify me from competition for this award.

Essay and supporting material will be mailed separately

________________________________________	______________________
Signature	Date

E-mail address of person who is submitting this form:

If your browser doesn't support forms, print this page or print the PDF file (86K). Then fill in the requested information and contact Ady Dewey, AWC-DC Student Affairs Committee, at ady@ideasandvision.com for a mailing address to send a hardcopy to.

Student Affairs

AWC-DC • Membership

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