Dr. James and Gail Haemmerle Scholarship Application - Community Foundation of Dunn County

Phone

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Eligibility Requirements

Applicants must currently reside within one of the following schools zip codes to apply:*

Non-traditional Student*

Applicants must be non-traditional students. Nontraditional students are defined as students who did not go directly to college the fall following high school; are returning to college after a break in studies to complete their degree; or are changing careers to pursue other employment options. Are you a non-traditional student?

Yes
No

Application

Name*

First Last

Mailing Address Line 1*

Mailing Address Line 2

City, State, Zip Code*

Phone*

Email*

Birthdate*

What level of education have you attained?

I have not completed my high school diploma or GED
I have completed my high school diploma or GED
I have completed some college but not a degree
I have completed my associates degree
I have a bachelor's degree as my highest degree
I have completed an advanced degree such as a master's degree, or doctoral degree, professional d.

Applicants must have demonstrated financial need in order to apply for this scholarship. Do you currently qualify for any state or federal low-income assistance programs, such as FoodShare, Free/Reduced School Lunch for your dependents, Wisconsin Home Energy Assistance, etc.?*

If you answer No, you will also have the opportunity to write a Personal Statement of Need later in the form.

Yes
No

How did you hear about this scholarship opportunity?*

About You*

Tell us about yourself and your background.

Education Goals*

What are your education goals? Please include the name of the school you wish to attend, the specific associate degree, technical diploma, or certificate you wish to obtain, and your career goals following degree completion.

Why do you deserve this scholarship?*

This is a competitive scholarship with only one recipient. The recipient will have their full degree expenses paid for in full. What makes you deserving of this scholarship?

Personal Statement of Need*

Please describe your financial need and any personal hardship or barriers that have kept you from pursuing your education/career goals, such as a family situation, single-parent status, medical reasons, etc. All information you share will only be shared with the selection committee and will otherwise remain confidential.

Letter of Recommendation (Optional)

You may provide a Letter of Recommendation from someone not related to you who can speak to your skills, character, life experience, and/or achievements in relation to this award.

Letter of Recommendation - Upload(s)

Drop files here or

Max. file size: 512 MB.

Optional:

I am unable to upload a Letter of Reference, but I will have it emailed to lforster@cfdunncounty.org or mailed to The Community Foundation of Dunn County, 800 Wilson Ave, Suite 235, Menomonie, WI 54751 by the July 1st deadline.

Electronic Signature*

I certify that the information provided in this application is complete and accurate to the best of my knowledge. I understand that falsification of information will result in termination of any scholarship granted. I understand that incomplete applications may not be considered. I certify that I have read the instructions and will comply with all requests for documentation, as well as a possible in-person interview. Should I receive a scholarship, I will notify the Community Foundation of Dunn County (CFDC) of any change of plans. The CFDC may use my name and likeness in publicity materials relating to the Foundation.