Matt Thomas Montana Afoot and Afloat Scholarship Scholarship Application

Name*

First Last

Email*

Phone*

WRFI Course*

WRFI Scholarship Amount Requesting:

Family & Financial Information

If you applied for Financial Aid this academic year, you must attach a copy of your Student Aid Report (SAR), including your EFC score. You can download a copy at: www.fasfa.gov.

Adjusted gross income for past calendar year:

Your parent's adjusted gross income for past calendar year:

Tuition Information & Financial Resources

For current academic year

School tuition & fees

Living (housing, food)

Other major expenses (specify)

Please help us understand how you pay for your school and living expenses. Indicate specific income amounts for each of the following categories:

Work	Savings	Investments	Parents/Family	Other

Did you apply for financial aid or scholarships at your school or elsewhere?*

Yes
No

Financial Aid & Scholarships from your school or an outside source (specify amount and type)

Other Details

Detail here any special financial circumstances affecting your situation: medical costs, obligations to support others etc. Use back of paper if necessary. I certify that the information supplied in this application is correct.

Essays

Consider an encounter you have had with a place, either past or present: How did you become intimate with the place and what did you (or do you) get out of your relationship to the place?

Consider an encounter you have had with a place, either past or present: What responsibilities or obligations have you felt to the place you are writing about?

Consider an encounter you have had with a place, either past or present: Have you ever felt that the place you are writing about is or could be threatened in some way? If so, how did/would you respond?

Applicant Signature*

Date*

Name

This field is for validation purposes and should be left unchanged.