Scholarship Application ApplicationInstructions Application Deadline: April 1st of the current year. You may apply as either a Full-Time Student or a Part-time student. Scholarship amounts differ based on enrollment status.Personal InformationName: *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone *Email *Educational and/or Occupational Goals *CertificateAssociate DegreeTransferCareer or Occupation Objectives *School InformationWhat school do you plan on attending? *We know this answer can change but include your best guess.Application type *Full-Time Student (12+ units)Part-Time Student (6 - 11 units)Current Number of Units (Spring): *Please specify Quarter/Semester unitsPlanned Fall Units: *Please specify Quarter/Semester unitsJob InformationDo you currently work? If so, where? *What is your job title? How many hours a week do you work? *Do you plan to work next year? If so, where and how many hours? *Other InformationHave you previously received a Soroptimist of Willits Scholarship? If so, please give the date and the amount of your award. *STATEMENT OF CANDIDACY (pdf): * Please submit a statement which includes: An explanation of any unusual hardships or special circumstances that we should be aware of Your major or area of study and why you have selected it. Your educational, professional, or occupational goals (include any plans to transfer to another college).College Transcript (pdf) *Upload current college transcriptsLetters of Recommendation (one pdf) * For a full-time student: two letters of recommendation, where at least one from a current or recent teacher or college professor, the other may be from an employer. For a full-time student: two letters of recommendation, where at least one from a current or recent teacher or college professor, the other may be from an employer. ELIGIBILITY AND RECEIPT OF MONIES: CONTINUED ELIGIBILITY Soroptimist of Willits offers multiple scholarships to female Willits area high school seniors as well as returning women college students. The amounts of the awards vary depending upon enrollment status. If you are awarded a Soroptimist of Willits Scholarship, you will be required to present proof of registration for the semesters (or quarters) of the award. In addition, the club will request copies of your grades for subsequent semesters. The failure to submit these items results in forfeiture of the monetary award. In general, a 3.0 GPA for your college-level work will be required. There may be exceptions based upon extenuating circumstances.PERMISSION STATEMENT: If you are selected, please confirm by typing your name below that you grant Soroptimist International of Willits permission to use your name and likeness for publicity purposes with regards to this award. Your typed signature also indicates that you have read and accepted the terms of the continued eligibility statement.Name Typed: *Date * VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
