WiTEACH Application Form

WiTeach Application Form

Instructions

Apply to the University of Wisconsin-River Falls.
Complete the WiTEACH Leadership Program Application below and submit, OR print the PDF version.
Complete the Free Application for Federal Student Aid (FAFSA) at www.fafsa.ed.gov.
Submit a current or most recent unofficial transcript from your high school and/or college.

WiTEACH logo

BY June 27, 2011, mail or bring all required materials (unofficial transcripts/DAR) to:

WiTEACH Program Office
126 Wyman Education Building
UW-River Falls
410 S. 3rd Street
River Falls, WI 54022

Certification

By clicking the submit button below the form you certify the following:

The information contained within this application is true to the best of my knowledge.
I understand that misrepresentation or fraudulent information may be grounds for loss of scholarship funds and/or required repayment.
I also understand that my application WILL NOT BE CONSIDERED if my application is not completed as instructed; if my academic transcripts are not attached; and until the WiTEACH Leadership Program Office has received the results of my FAFSA from the Financial Aid Office.
If named a recipient, I authorize UW-River Falls to release any non-private information listed in this application to the WiTEACH Leadership Program.

First Name:

Middle Name:

Last Name:

Falcon ID:

E-mail:

Street Address*:

Apartment or Unit Number:

City*:

State:

Postal/Zip Code:

Phone Number:

DEMOGRAPHICS: Providing the following demographic information is voluntary. This information will assist WiTEACH in evaluating student recruitment and retention policies. Scholarships are funded by donors and they often give these scholarships with the intent that they are awarded to students who meet very specific criteria. Please review the following criteria carefully and check any item that applies to you:

Gender:

Female

Male

Ethnicity:

Are you a new student (never attended UW-River Falls)?:

Yes

Are you planning on enrolling full-time (12 or more credits per semester)?:

Yes

If not planning on enrolling full-time, how many credits do you plan to take each semester?:

How many total credits will you have at the start of fall term?:

How many of your total credits are transfer credits?:

Program of Study at UWRF:

Expected date of UWRF graduation:

Have you been accepted into the Teacher Education program? :

Yes

Name of High School:

Year of HS Graduation:

List all previous colleges attended:

APPLICATION

What questions do you have about Teacher Education at UWRF?:

How do you picture WiTEACH helping you as a student and as a future teacher?:

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University of Wisconsin-River Falls
410 S. 3rd Street, River Falls WI 54022 USA
Campus Information 715-425-3911