National Co-op Scholarship Program Application Form 2011-2012

APPLICATIONS NO LONGER BEING ACCEPTED FOR THIS YEAR

NATIONAL COOP SCHOLARSHIP APPLICATION FORM
Application Deadline: FEBRUARY 15, 2012

Email Address:

First Name:

Last Name:

Address:

City:

State:

Zipcode:

Phone:

High School:

High School Telephone:

Guidance Counselor (Full Name)

Ethnic group (optional) check appropriate box

	WHITE / CAUCASIAN
	ASIAN / PACIFIC ISLANDER
	BLACK / AFRICAN AMERICAN
	NATIVE AMERICAN / ALASKA NATIVE
	HISPANIC
	MULTICULTURAL

GPA (AS REPORTED ON TRANSCRIPT)

SAT Scores:

Math

Verbal

Writing

ACT (Composite)

THE NATIONAL CO-OP SCHOLARSHIP PROGRAM ONLY APPLIES TO THE SEVEN INSTITUTIONS LISTED BELOW

Please indicate to which of the following WACE Partner Institutions you have applied:

	DREXEL UNIVERSITY		ROCHESTER INSTITUTE OF TECHNOLOGY
	JOHNSON & WALES UNIVERSITY		UNIVERSITY OF CINCINNATI
	KETTERING UNIVERSITY		UNIVERSITY OF TOLEDO
	WENTWORTH INSTITUTE OF TECHNOLOGY

How did you learn about the National Co-op Scholarship Program? (check the appropriate boxes)

	THE BEST OF CO-OP GUIDE, 2012 EDITION		COLLEGE / UNIVERSITY ADMISSION FINANCIAL AID OFFICE
	WWW.CO-OP.EDU WEBSITE		CO-OP SCHOLARSHIP APPLICATION ANNOUNCEMENT
	SCHOLARSHIP WEBSITE(S)		US NEWS “AMERICA’S BEST COLLEGES” CO-OP AD
	HIGH SCHOOL GUIDANCE COUNSELOR		FACEBOOK / TWITTER

Please include below a 500 word essay describing why you have chosen to pursue a college cooperative education program.
(Essay must be as close to 500 words as possible but not over 500 words)