| Scholarship Form |
| As an EWISHET member, you have a fantastic opportunity to request educational financial support, up to $200.00! Simply complete this form and mail it to the EWISHET Scholarship Chair. We're a group dedicated to life-long learning! |
| Name: ___________________________ Date of Application: ____________ Date of Education Event: ___________ Number of EWISHET meetings attended over the last 12 months: _______________________ 1. Description of program (attach brochure or flyer): ___________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 2. Amount Requested: ______________________ (maximum $200) 3. Your expected benefit?: ________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 4. How will EWISHET benefit? (method for sharing): __________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 5. How have you supported EWISHET?: ___________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Approved: ____________________ Signature: ___________________________________________ Denied: ____________________ Date: _____________________________ Email/Fax/Mail to the Scholarship Chairperson (return to officer's list.) REMEMBER TO INCLUDE THE BROCHURE OR FLYER! |
| EWISHET Request for Educational Financial Support |