Scholarship Application Anonymous Fort Atkinson Scholarship Application If you have any questions please contact the Foundation at foundation@madisoncollege.edu or call 608-246-6441. Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Madison College Student ID Number*Madison College Email Address* Phone*Date of Birth* High School Name*Are you first in your immediate family to attend college?* Yes No What is your current student status? New Student Continuing Student You are a new student if you have completed less than 6 credits at Madison College.How many credits are you enrolled in for the upcoming semester?*Are you a veteran?* Yes No Ethnic Heritage* African American American Indian or Alaskan Native Asian or Pacific Islander Caucasian Hispanic/Latino Hmong Tibetan Other OtherIntroduce yourself (without stating your name) and tell us your story. Also, describe any other major life changes or special circumstances that should be considered in review of your application.* If you are a new student (have completed less than 6 credits at Madison College) please upload your high school transcript. Drop files here or I authorize Madison College to release to Madison College Foundation all relevant information needed to determine my scholarship eligibility which may include but is not limited to information concerning financial resources I may receive, as well as ongoing personal information and college academic records. This information will be used for evaluating the application and awarding the scholarship and will not be published or shared with others. Applications, less Student ID number and address information may be shared with donors or quoted in Foundation materials. To ensure a fair and objective review process, it is the policy of the Foundation not to comment on the deliberation of the scholarship review process. Thus, the Foundation is unable to provide written or oral evaluations to applicants after decisions are made. No provisions exist for reconsideration of awards after scholarships are announced. All applications and supporting materials become the property of the Madison College Foundation and, as such, will not be returned. I certify that the information I have supplied on this application is complete and accurate to the best of my knowledge, and I understand that knowingly submitting inaccurate or false information will result in the denial or loss of any scholarship offers or awards.* By Signing this application, I agree to all terms and conditions stipulated herein. Applicant’s Signature (Type your full name)*Date* By Ruth Hankes|2020-02-25T10:20:01-06:00February 25th, 2020|Community Campaign|0 Comments Share This Story, Choose Your Platform! FacebookTwitterLinkedInRedditWhatsappGoogle+TumblrPinterestVkEmail About the Author: Ruth Hankes Related Posts Madison College Alumnus Establishes Scholarship for EET Students Madison College Alumnus Establishes Scholarship for EET Students Dr. Turina Bakken Honored with Resolution Dr. Turina Bakken Honored with Resolution Madison College Foundation Honors Former Board Member Ashok Bhargava Madison College Foundation Honors Former Board Member Ashok Bhargava Roots and Wings gives $100,000 to support Early Childcare Education Gallery Roots and Wings gives $100,000 to support Early Childcare Education Marsha Tweedy Named New Executive Dean, School of Health Sciences and School of Nursing Gallery Marsha Tweedy Named New Executive Dean, School of Health Sciences and School of Nursing
