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BY DECEMBER 15, 2009, mail or bring all required materials (unofficial transcripts/DAR; letters of recommendation (optional)) to:

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

WiTeach Application Form

Instructions

  1. Apply to the University of Wisconsin-River Falls.
  2. Complete the WiTEACH Leadership Program Application below and submit, OR print the PDF version.
  3. Complete the Free Application for Federal Student Aid (FAFSA) at www.fafsa.ed.gov.
  4. Write an essay according the guidelines. Complete your essay before filling out the application, then copy it into the application.
  5. Obtain a letter of recommendation from a teacher, counselor, or professional who can attest to your potential in your chosen field of study.
  6. Submit a current or most recent unofficial transcript from your high school and/or college.

REQUIRED FIELDS ARE MARKED WITH AN ASTERISK *

General Information

*Last Name:

*First Name:

*Middle Name:

*Student ID/W number:

*Address: (include apartment or unit number)

*City:

*State:

*Zip:

*Phone:

*Email:

 

Demographic Information:

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:

Male Female

American Indian or Alaskan Native

Black or African American

Native Hawaiian or Other Pacific Islander

Asian

Hispanic or Latino

White


Are you a new student (never attended UW-River Falls)? Yes No

Are you planning on enrolling full-time (12 or more credits per semester)? Yes No

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 No

Name of High School: Year of Graduation:

All previous colleges attended:


Essay

A 500-word essay explaining the reasons for choosing your particular field of study, your career goals, your plans for future study, and an explanation of why you should be selected in to the WiTEACH Leadership Program (essay guidelines). Write your essay in a word processing program and then copy and paste it below.


Certification

By clicking the submit button below you certifiy 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 and essay are not completed as instructed; if my letter of recommendation and 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.

 

University of Wisconsin–River Falls
410 S. Third Street, River Falls WI 54022-5001 USA (715) 425-3911
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