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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: __________________________________________________

 

=====================================================

Please submit three personal references (One in letter format).

Name
Address
Telephone #

____________________

____________________________

_______________

____________________

____________________________

_______________

____________________

____________________________

_______________

________________________________________________________________

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