2010 SCHOLARSHIP APPLICATION

http://bgzonta.org

Requirements to be satisfied prior to completion of this application:

Age (25 and above):                                  Yes___          No___

Gender (Female):                                        Yes___          No___

Wood County Resident:                           Yes___          No___

Financial Need:                                           Yes___          No___

If you answered “yes” to all four of the above scholarship eligibility requirements, please complete the following information:

Name___________________________________________________________

Address_________________________________________________________

________________________________________________________________

Phone __________________________E-mail __________________________

Cell Phone ______________________

Education (Attach additional sheets if necessary)

High School ______________________________________________________

Address _________________________________________________________

Date of Graduation _________________________________________________

College/Post-Secondary Education or Training (to which the scholarship would be applied)

University/College or Training Program_________________________________

Address__________________________________________________________

Major/Program of study______________________________________________

Budget (Please indicate anticipated costs for the academic or training year):

Tuition ______________ Books ______________ Supplies _______________

How did you learn of this scholarship? ______________________

Academic or Training Goals:  On a separate, attached sheet of paper, please describe: 

· your personal goals;

· your career goals;

· how the Zonta Club of Bowling Green Area 2010 Scholarship would benefit you, if awarded;

· if awarded, how the Zonta Club of Bowling Green Area 2010 Scholarship  would enhance your career goals;

· your financial need;  and

· if appropriate, include any special circumstances you would like the 2010 Zonta Scholarship Committee to consider.

Before submission, please ensure your application is complete using the checklist below:

· The application information above is fully completed.   ___Yes   ___No

· Two signed, completed 2010 Scholarship Recommendation forms are enclosed.      ___Yes   ___No

· An attached, separate piece of paper is also attached and includes a description of these items:

o Your personal goals    ___Yes   ___No

o Your career goals        ___Yes   ___No

o How, if awarded, the Zonta Club of Bowling Green Area 2010 Scholarship would benefit you  ___Yes   ___No

o How, if awarded, the Zonta Club of Bowling Green Area 2010 Scholarship would enhance your career efforts  ___Yes   ___No

o Your financial need  ___Yes   ___No

o A written statement regarding any special circumstances that you wish the 2010 Zonta Scholarship Committee to consider (if applicable)   ___Yes   ___No

Submit completed application and two signed recommendation forms in one of these two ways:  1) by mailing all items noted above (postmarked by March 19, 2010) to: Zonta of Bowling Green, Attention: Scholarship Committee, P.O.  Box 745, Bowling Green, OH 43402; or  2) Emailing your completed application to BGZonta@gmail.com. by 5:00 p.m. on March 19, 2010, and mailing your completed, signed recommendation forms (postmarked by March 19, 2010) to: Zonta of Bowling Green, Attention: Scholarship Committee, P.O.  Box 745, Bowling Green, OH 43402.

**DEADLINE:  March 19, 2010 (Postmarked)**