2006 Business and Professional Women’s (BPW)
Scholarship* and 1 yr. student membership
*Honoring Eleanor Challen
Deadline for submission is: November 1st (postmarked)
To be awarded 15th November 2006
Name: ____________________________
Address: _______________________________________________________
________________________________________________________________
________________________________________________________________
Phone #: _______________________________________________________
E-mail: ________________________________________________________
School you will be attending: ___________________________________
Last year of education: ________________________________________
GPA: ______________ (optional)
Major/Minor: __________________________________________________
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Please submit three personal references (One in letter format).
Name |
Address |
Telephone # |
____________________ |
____________________________ |
_______________ |
____________________ |
____________________________ |
_______________ |
____________________ |
____________________________ |
_______________ |
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A. What are your future plans/goals after graduation?
B. What accomplishments, awards, or notable interests have you done or received?
C. What hobbies or clubs have you been involved with?
D. Would you be interested in becoming a student BPW member or have time for some bi-monthly evening meetings?
E. Other comments you would like to add so we can get to know you better.
Signature: ________________________________ Date: ___________
Return form to:
Judi Ellington
5150 Keil Loop Rd.
Missoula, MT 59808 |
OR |
Brenda Harrold
529 Colorado Avenue
East Missoula, MT 59802 |