Safe Water Scholarship Application

First Name *
Last Name *
Address Line 1 *
Address Line 2
City *
Location *
Zip/Postal Code *
(Area Code) Phone
Email Address *
AWWA Member
ISAWWA Member
College/University *
College Financial Office Address *Please provide the address of the Financial Office of your college or university you for scholarship disbursement purposes.
Commitment to the Total Water Industry *Please provide details about your future goals and explain how you intend to use your study to benefit the total water industry. Preference will be given to those who make reference to future plans in Illinois.
Total Water Related Activities *Please discuss what total water related activities you have participated in: research projects, volunteering, jobs, student groups, etc.
Leadership *List and briefly describe leadership opportunities you have participate in such as: volunteering and service projects, involvement in your community, clubs and/or extracurriculars you are involved in including leadership roles.
What degree are you seeking? *
Intended Career or Field *
Graduation Year *
Major or Intended Major *
Agreement *
Upload Resume
Upload Recent Transcript *
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