Travel Award 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 2023/2024. I will be majoring in Environmental Sanitation, Culinary Arts, Food Microbiology, or Dairy, Food, Meat Sciences or closely related majors in post-secondary education.

Name of the school you are attending*

City/State*

What year of study are you in?*

Major area of study:*

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

Current GPA*

Travel Award 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