Scholarship App Form 2022_202203041147425916

Application for County Commissioners’ Scholarship UINTA COUNTY The County Commissioners’ Scholarship is a fee remission scholarship in the amount of $500.00 per semester for one academic year, valid only at the University of Wyoming or a Wyoming Community College Scholarships are awarded after due consideration of the individual student’s extra curricular activity, scholastic ability and American college testing score, with grade point average and American college testing scores being weighted equally Please note that for any entering student who fails a math or English placement test, this reduced tuition scholarship will not be effective All applications must be submitted no later than May 11, 2022 The scholarships will be awarded May 17, 2022 Applicant’s Name Last First Middle M _ F _ Mailing Address _ Address City State Zip Code Telephone _ E-Mail School Current Attending Name and Address of Current High School or College Name of Parent or Legal Guardian _ Occupation _ Address # of Dependents _ Planned Major Field of Study Planned future occupation _ Financial need will be used in determining the recipients of the County Commissioner Scholarship Please provide a Statement of Financial Need What other scholarships, grants and loans will you receive? Please list the primary high school and/or college honors you received and extra-curricular activities in which you participated _ Please list your work experience, beginning with your current or most recent position Employer Position Held Dates Worked Please attach the following: Contact Name and Number _ Transcript of Grades _ Letter of recommendation from High School Superintendent or his/her representative or appropriate college official, if in college _ A letter from you, addressed to the Uinta County Commissioners stating your past experiences, achievements, goals, financial needs and other information about yourself you would like to share _ Signature Date For questions, please contact Chanda Dougherty, Financial Aid, University of Wyoming, 307-766-3017 dstrong2@uwyo.edu Please return completed application no later than May 11, 2022 to: Amanda Hutchinson, Uinta County Clerk, PO Box 810, Evanston, WY 82931