Scholarship Application
Requests must be received by March 1, 2023

Family Information

I hereby certify that the information provided on this application is true and accurate to the best of my knowledge. I grant permission to the Women's Club of Newburgh to contact my references and my school. If I am awarded a scholarship by the Wome's Club of Newburgh, I gran permission to use my photo on their website, social media, and the newspaper.

Signature

Date

Academic Records

list years active and offices held.  Example: French Club: 1,2,3,4   Class President: 4,  Football: 1,2

Community Volunteer Activities

Recent Work Experience (most recent first)

Position

Dates

Hours Worked

Phone Number

City

Major

Attach an Essay telling us of your college plans, how service to your community has been a part of your life and how you feel you can help others after being helped yourself.  (Limit to one side of a page.)

Please Note: Deadline for receipt of this application is March 1st.  You may mail them to the Women's Club of Newburgh (P.O. Box 174, Newburgh, IN 47629)must be postmarked on or before March 1st.  Application will not be considered if current year transcript is not included and application is not complete.