Scholarship Application Form

Personal Information

Name*

First Last

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Alternate Mailing Address

I have an alternate residence I wish mail to be directed to

Alternate Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I will be attending or am attending an accredited two-year technical school or college or four-year college or university in Wisconsin or a school with a reciprocity agreement with Wisconsin. If I am attending a school outside of Wisconsin or without a reciprocity agreement with Wisconsin, I have had or am having an internship experience with a Wisconsin company. I will be considered a full time student as a freshman, sophomore, junior, or senior in 2025/2026. I will be majoring in Environmental Sanitation, Culinary Arts, Food Microbiology, or Dairy, Food, Meat Sciences or closely related majors in post-secondary education.

I am applying for the following awards:*

the $2,000 Technical College award, must be enrolled in a technical school or college for a one-year certificate program or associate degree program
the $3,000 undergraduate student award
the $3,000 E. H. Marth award, (Wis. residency is required for the E. H. Marth scholarship)

Additional details for the awards are listed at the end of this document.

Name of the school you will be attending next fall*

City/State*

What year of study will you be in?*

Major area of study:*

Number of credits/hours completed and hours required for your degree or diploma:

Current GPA*

Scholarship Application Form

Step 1 of 4

Personal Information

Academic Records and Achievements-High School and Post High School

Work or Internship Experiences

Goals

Please visit our website at www.wifoodprotection.org to learn more about WAFP