Scholarship Application Form

Scholarship Application

		WOMEN IN ELECTRONICS, ATLANTA CHAPTER
		SUSAN WILLIAMS, SCHOLARSHIP CHAIR
		1466 Riveredge Court
		Bethlehem, GA 30620
		Telephone: (770) 639-8486
		Email: SUSAN WILLIAMS

Applicant Name:

Address:

Phone Number:

Email Address:

College / University:

Major / Concentration:

GPA:

Expected Date of Graduation:

Financial Debt / Loan Balances:

Other Scholarships Received in the Past:

Community Involvement / Extracurricular Activities/ Organizations / Employment / Family/ Interests:

Personal Accomplishments:

After Graduation I plan to:

APPLICATIONS MUST BE RECEIVED BY 5:00 PM ON MONDAY, APRIL 5, 2010

Please EMAIL APPLICATION and COLLEGE TRANSCRIPTS to
Susan Williams, WIE Scholarship Chair: Susan.Williams@afi.cc
or MAIL to:

WIE Scholarship Chair, attn: Susan Williams;
1466 Riveredge Court; Bethlehem, GA 30620

If necessary, please use this page to provide additional information: