Scholarship Application Form

Step 1 of 4

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 2020/2021. 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*

Academic Records and Achievements-High School and Post High School
Please list schools you have attended, their location, dates you attended and the degree you received.*
List any offices or leadership positions you have held and the name of the organization, academic honors you have received (National Honor Society, Valedictorian, Honor Roll, etc.) and related extracurricular activities you are involved in or have been involved in:*

Work or Internship Experiences
Name and Address of employer
Duties
Start Date
MM slash DD slash YYYY

Approximate Start Date
End Date
MM slash DD slash YYYY

Approximate End Date
Approximate Number of Hours per Week:
Name and Address of employer
Duties
Start Date
MM slash DD slash YYYY

Approximate Start Date
End Date
MM slash DD slash YYYY

Approximate End Date
Dates of Employment (Month, Year)
Approximate Number of Hours per Week:
Additional Work or Relevant Internships

Goals
Tell us why WAFP should award this scholarship to you. What are your goals? Please include any pertinent information concerning your financial need and explain how you have supported or intend to support Wisconsin based food protection, food science, and the food industry.*
Attach Your Letter of Recommendation*
Max. file size: 50 MB.
Attach your Transcript*
Max. file size: 50 MB.
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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