Guild Scholarship Application

Guild Scholarship Application

First Name: 

"First Name" is required.

Last Name: 

"Last Name" is required.

Primary E-mail: 

"Primary E-mail" is required. "Primary E-mail"needs to have a valid entry.

Address Line 1: 

"Address Line 1" is required.

City: 

"City" is required.

State: 

Please Choose Alabama Alaska Alberta American Samoa APO AA APO AE APO AP Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Fed St of Micronesia Florida FPO Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Louisiana Maine Manitoba Mariana Island Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province of Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Trust Territories Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
"State" is required.

Zip: 

"Zip" is required.

Home Phone Number: 

"Home Phone Number" is required.

Parent/Guardian Name 

"Parent/Guardian Name" is required.

Anticipated Graduation Date 

"Anticipated Graduation Date" is required.

Relative who is a member of the Guild 

"Relative who is a member of the Guild" is required.

If I am awarded a Guild Scholarship, I agree to maintain current contact information with Valparaiso University and the Guild after graduation. 

If I am awarded a Guild Scholarship, I agree to maintain current contact information with Valparaiso University and the Guild after graduation.

Yes
No

"If I am awarded a Guild Scholarship, I agree to maintain current contact information with Valparaiso University and the Guild after graduation." is required.

I understand that if awarded a Guild scholarship, I will be requested to volunteer approximately 10 hours per academic year with the Guild. 

"I understand that if awarded a Guild scholarship, I will be requested to volunteer approximately 10 hours per academic year with the Guild." is required.

For incoming freshmen, please attach a copy of your high school transcript.

 

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