Waukesha State Bank Scholars Program Application

First Name:
Last Name:
Address:
City:
State:
ZIP code:
Phone Number:	( ) - Second three digits Last four digits
Email:
High School Name:
Year of High School Graduation:
Income:	For Waukesha State Bank Community Reinvestment Act documentation purposes only, please indicate your annual individual (NOT household) income below. Your answer to this question has absolutely no bearing on whether you are awarded a scholarship. Under $27,100 $27,100 - $43,300 Over $43,300 Upload or email the following to scholarship@carrollu.edu
Community service, work experience and extracurricular involvements:	(Only .doc, .docx, and .pdf files can be uploaded)
Essay:	(Only .doc, .docx, and .pdf files can be uploaded)