NDRWSA - Denne Scholarship Application

Contact Information

Name^*

Phone Number^*

Email Address^*

Address^*

City^*

State^*

ZIP Code^*

Application Information

Employee/elected official name, title and relationship to you^*

Name of city/rural water system your relationship is affiliated with^*

Name of school you will attend^*

Major or course of study^*

Career Goals^*

Please write a brief paragraph summarizing your career goals.

Extracurricular Activities^*

List any extracurricular activities including academic, athletic, volunteer hours, community service, etc.

Photo^*

Please provide a senior picture or other image of you. This image will be used in print and may be used for social media purposes if you are selected as a scholarship recipient. Images must be at least 300 DPI or greater and include the applicants name in the file name.

Transcript^*

Include a transcript of the past 2 years of high school education and/or college education. Please include the applicants name in the file name.

Applicant Essay^*

Write a 400-500 word essay on the importance of the water industry. Please include the applicants name in the file name.

Financial Need^*

Please describe any unusual circumstances or financial hardships that affects your need for financial assistance.

If employed, please explain if your employer provides any compensation for your education

Statement of intent^*

I hereby verify that the statements and information disclosed in this application are true and accurate, and have been provided in good faith. I intend to continue my education during this school year and promise to use all scholarship funds provided by the NDRWSA to defray the cost of my education. I understand that if I am chosen as a winner, my essay and photo will be printed in the ND Water Magazine and may be used for social media purposes.