QUINCY ALTRUSA

 

 

                                       

 

 

 

 

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)