Lyla Flagler Scholarship Award Application

Eligibility:

Be a mature individual who formerly attended UW-Eau Claire without graduating and returned to complete a degree
Recipients must display financial need
Have a FAFSA on file
Formerly have had an above average scholastic record

Award: $600
Deadline: 3rd Monday in April
Only the applicant selected to receive the award will be notified of the selection.

Please note that due to State regulation you may be ineligible to receive a scholarship if you are delinquent in child support payments. Please check with Financial Aid if you have questions.

Date:

Name:

University E-mail:

Student ID #:

Permanent Address:

City, State, Zip:

Home Telephone #:

Cell Phone #:

Year in School:

Major:

Cumulative GPA:

Educational Background:

High School Attended: (Name, Address, Dates)

University Attendance: (Name, Address, Dates)

List activities in which you have participated or other ways in which you may have been of service. (High School, College, Church and Community---include honors, awards, scholarships and/or positions of leadership)

List name and address of an instructor or other professional person in Eau Claire or your home community who could be used as a personal reference.

Name:

Title:

Address:

City, State, Zip:

Email:

Phone #:

Please write a one-page essay describing how this scholarship will be of assistance to you in continuing your education.