NOTICE OF FINANCIAL AID STATUS



William J. Pierce

Memorial Scholarship

2013-2014 Academic Year

The family of William J. Pierce has established a Memorial Scholarship to recognize students enrolled in any program at Western Dakota Tech.

 

|Eligibility Requirements |

|GPA 2.5 on a 4.0 scale |

|Be in good standing |

|Demonstrate Financial Need |

|Awarding Criteria |

|Award Amt: $250 |

|Award Disbursed: Fall 2013 and Spring 2014 |

|Submit App to: WDT Financial Aid Office |

|Requirement: This application form and one professional |

|letter of nomination outlining the student’s character and |

|attitude. |

| |

|Students beginning their enrollment at WDT in the 2013-14 |

|academic year must submit an official copy of their high |

|school transcript/GED. |

|DEADLINE: May 1, 2013 |

PLEASE SUBMIT A TYPED APPLICATION

Name:      

Address:      

     

Phone:      

Social Sec. No.:      

Program of Study:      

Cumulative GPA:      

Anticipated Graduation Date:      

Are you receiving Financial Aid (grants and student loans) at WDT? Yes No

Are you receiving assistance to help fund your education other than Federal

Financial Aid (for example: WIA, GI Bill, BIA funding, vocational rehabilitation)? Yes No

If yes, please list the name of the agency, and the amount you are receiving:

Name of Agency TOTAL amount for 2013-14

      $     

      $     

I give permission to use my name and photo in announcing and promoting this scholarship. Yes No

By signing below, I certify that the information submitted in this application is true and correct to the best of my knowledge. I also authorize the WDT Scholarship Committee and/or those making the scholarship funds available to access my academic and financial assistance records to authenticate the information needed to select the recipient of this scholarship.

Signature: ___________________________________________ Date: _______________________

Upon completion of this application, please print the completed form (if completed on-line), sign and date the application and submit it by the deadline noted above. Please note that the WDT Scholarship Committee and/or those making the scholarship funds available will not consider applications that are not fully completed and received by the deadline noted above.

Please complete the information listed on page 2

Please indicate the average hours/week you are working while attending WDT and how that impacts your education.      

Explain how you balance family, school and work.      

Describe a challenge you have faced and how you overcame it.      

-----------------------

800 Mickelson Dr.

Rapid City, SD 57703-4018

605-394-4034 or 800-544-8765

FAX: 605-394-2204

wdt.edu

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