SOCIETY OF ST. VINCENT DE PAUL’S

EDUCATION SCHOLARSHIP

INITIAL INTAKE FORM

ST. VINCENT DEPAUL SCHOLARSHIP FUND HAS LIMITED MONEY.

NWTC has various scholarships available for all kinds of programs and situations.

To find help that applies to your degree/certificate please call/visit

NWTC Student Support Services 920-498-6258

Scholarships are granted up to $500.00 per semester.

DATE: / SCHOOL:
NAME: / SEMESTER:
Fall ( ) spring ( ) summer ( ) Other/date:
ADDRESS: / PROGRAM/MAJOR:
CITY/ZIP: / CAREER PATH WAY BRIDGE PROG: Yes No
TELEPHONE #: / DATE CLASSES START:
E-MAIL ADDRESS: / BEST DAY & TIME TO BE CONTACTED:
WHO REFERRED YOU TO US?
ADDITIONAL COMMENTS/QUESTIONS:

Please e-mail completed form to:

Revised 10/30/17