ALTRUSA FOUNDATION OF QUINCY, ILLINOIS
THE ALTRUSA FOUNDATION OF QUINCY, IL. SCHOLARSHIP APPLICATION FOR NON-TRADITIONAL STUDENTS
Name _____________________________________________________________
Home Address_____________________________________________________
Street ___________________________ City___________________________ Zip_____________
Phone _______________ Email _____________________________
Are you a resident of Adams County? _____Yes _____No
Do you have a bachelor’s degree? _____Yes _____No
Are you at least 23 years of age? _____Yes _____No
What college do you attend or do you plan to attend? ___________________________________________________________________
1) List your career goals:
______________________________________________________________________________
2) Are you managing multiple roles, i.e., parent, employee, student, adult caregiver? Please explain. ____________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
3) List any community activities with which you are involved with and explain how you are involved:
______________________________________________________________________________
4) List your employment history:
______________________________________________________________________________
5) How would receiving this scholarship affect your plans?
______________________________________________________________________________
______________________________________________________________________________
6) Provide a short essay about some service involvement, what you gained, how you became involved, and how it relates to your career goals. Include three copies.
Send three copies of the completed application, three copies of letters of reference from three different individuals sealed by the authors, and one copy of your high school diploma or GED to: Altrusa International of Quincy, IL, PO Box 733, Quincy, IL 62306
Must be postmarked by MARCH 15 (12/2009)
