RUTHB.SAYRE SCHOLARSHIP

This memorialscholarship of$500 is offered forthepurpose offostering educational developmentofwomen.

INSTRUCTIONS FORCOMPLETINGAPPLICATION

1. Applicantmustbe awoman and a legalresidentof the USAwho showsfinancialneed and the abilityto complete her education.

2. Applicationwith attachments mustbe submitted,reviewed,and signed bythe state societypresident/chairman of the affiliated ACWW/CWC societyfromyourstate.See list ofsocieties, .

3. Please type orprintplainly.Attach the followingINORDER INDICATED to the completedapplication.

a.Twocharacterreference letters(ONLY two letterswill be allowed and both from non-familymembers),

b.Official transcriptof high schoolorequivalent(i.e.state test scores)and college courses completed.

c.A one page summaryofyourparticipation in schooland community, work experience,educationalgoals and financialneed.

Applicant’sName

PresentAddress

City,State, Zip

Phone

Age

Email

Marital Status

Dependents

Occupationorbusiness ofparent(s)ifsingle

Youroccupation

Spouse’s occupation

Whatwill be the source of yourfunds? i.e.: Family income,scholarships,grants, Pell grant, savings,parents,orother

How much is available Have you received this scholarship before? Yes No

EDUCATIONALINSTITUTIONINWHICHENROLLMENTISDESIRED

Institution'sName:

Institution's COMPLETEMailing Address

Course ofstudy:

Degreeof Study:

Expected DateofCompletion:

Amount ofTuition/FeesperSemester$

Amount ofOtherFeesperSemester$

DatePaymentMUSTbemade?

Haveyoubeenadmitted?

ShouldIbeselectedaswinnerof theRuthB.SayreScholarship,I granttheCountryWomen’s CouncilUSAtherighttouse, publish,andcopyright(including audio,movingimage,or photograph)foreducational programsandpublications,web sites,andpromotionofCountry Women’sCouncil.

PrintnameofParentor

Guardian

SENDCOMPLETEDAPPLICATIONWITHATTACHMENTSBY MARCH1ST, TOJoanStaffon,WAHCEPresident,E9537CtyHwyE Merrillan,WI54754

Signatureof

Applicant

Dateapplicationcompleted

ParentorGuardianmustsignif subjectisunderage18

SponsoringStateACWW/CWCSociety

SignatureofStateACWW/CWCSocietyPresident/Chairman

Date

PleasePlacePhoto

HERE

UsingRubberCement

Address

RUTHB.SAYREScholarshipapplicationsshallbePOSTMARKEDTOCWCVICECHAIRMANBYAPRIL1STFor additionalinformation contactLoretta Lyons .

SCHOLARSHIPMONEYSHALLBESENTTOTHE EDUCATIONALINSTITUTIONONORABOUTAUGUST1st

Thescholarshipwinnersnameswillbepostedontheweb site, afterJune1.