Scholarship Application Form

To promote the preservation, awareness and appreciation of our environment, the Friends of Willapa National Wildlife Refuge offer a scholarship to students pursuing careers in fish and wildlife management, environmental education, conservation, and related fields.  More complete information can be found at Scholarship Program.  Please provide the following:

Personal Information

Name:

Date of Birth:

Address:

City, State, Zip:

Phone No.:

Social Security No.:

High School Information

School Name:

School Address:

School City, State, Zip:

Guidance Counselor:

Guidance Counselor's Phone No.:

GPA (Attach transcript of grades from junior year through current senior year):

College Information

Name of College to Be Attending:

Registrar's Address:

Contact Name:

Contact Phone No.:

Declared Major:

Declared Minor:

List wildlife and conservation-related activities and interests:

Attach to this Application Form:

• copy of letter of acceptance to an accredited school
• copy of grade transcripts from junior year through current senior year
• three (3) letters of recommendation, including one from a guidance counselor
• typed 250-300 word essay on your future role in fish and wildlife management, environmental education/conservation, or related fields. Include an explanation of why you want this scholarship.
• a list of other scholarships applied for and those received to date; state if none have been applied for or received.
  

Scholarship Committee
Friends of Willapa National Wildlife Refuge
P. O. Box 1
Nahcotta, WA 98637