College of Agricultural and Life Sciences

Continuing Student Scholarship Application

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Instructions

This online application is only for currently enrolled UW-Madison students who will be enrolled in CALS for the 2010-11 academic year. There is a different process for those currently applying for admission to UW-Madison.

If you are a currently enrolled UW-Madison student and you can't use this online application, email the Office of Undergraduate Programs and Services, undergrads@cals.wisc.edu for assistance.

By filling out this application, you are applying for scholarships described in "Scholarships in CALS, UW-Madison." You will automatically be considered for all scholarships for which you are eligible.

The scholarship award process in CALS is separate from the financial aid process administered by the UW-Madison Office of Student Financial Services. Awards from CALS are reported to the Office of Student Financial Services and must be included in any financial aid package offered by that office. We encourage you to visit the Office of Student Financial Services web site for information on the UW-Madison financial aid process.

The criteria for allocating scholarships in CALS vary depending on the award. Criteria for selection may include: academic achievement, personal qualifications, financial need, career interests, major or program interest. The Scholarship and Financial Needs Committee selects the scholarship and award recipients.

To ensure consideration of your application, it must be received by February 1, 2010.
Applications received after February 1, 2010 will be considered if there are unallocated scholarship funds remaining after the initial allocation process.

Students selected for College awards will receive their funds in two installments. One-half will be disbursed at the beginning of each semester in the 2010-2011 academic year.

Make sure that all of your contact and personal information in the campus system is current and accurate. The information you supply below will be supplemented with information from UW-Madison student records.

You must complete this application in one session. Please read the entire application and gather all the information you need before you begin filling it out.

Your application has not been submitted until you check the "I certify..." statement and click the submit button at the bottom of this page. After you submit your application, you will receive a confirmation page. Print the confirmation page for your records. You will need your confirmation number to communicate further with us regarding your application.

Close your browser when you are done to prevent others from seeing your information.

Questions? Problems? Contact us at undergrads@cals.wisc.edu or (608) 262-3003.

Demographic Information

Name:	First	Middle	Last
UW-Madison Campus ID:	(number only)
Name of Parents or Guardians:
Father's Occupation:
Mother's Occupation:
City of Birth:
State of Birth:	(WI, MN, IL, etc)
Your family's type of residence :

Financial Information

All financial information is confidential. Some scholarships require evidence of financial need. If you choose not to complete this section of the application, you will not be considered for these awards.

I choose to provide this financial information:

Undergraduate Admissions provides information on the Estimated Cost of Attendance.

If you are financially independent, answer these questions based on your own income and situation. If you are not financially independent, answer these questions based on your parents' income and situation. To be considered self-supporting or financially independent, you must meet the following definition of self-supporting (parental income and assets will not be considered): (1) 24 years of age or older by 12-31-09; or (2) be an orphan or ward of the court; or (3) be a veteran of the U.S. Armed Forces; or (4) be a graduate or professional student; or (5) be married; or (6) have legal dependents other than a spouse.

Are you financially independent?
Number of dependents:	(number only)
Number of dependents in college excluding applicant:	(number only)
Adjusted Gross Income** for previous year:
Planned student contribution for 2010-11:	(number only)
Planned family contribution for 2010-11:	(number only)

Explain any special circumstances including sources of income or hardship not reflected in your answers above:
** Adjusted Gross Income: IRS Form 1040 - line 37; Form 1040A - line 21; form 1040EZ - line4.

Accomplishments, Interests and Special Considerations

Career Areas: Check all that interest you.

Farming or some form of production agriculture

Animal Sciences: Production/processing of beef

Animal Sciences: Production/processing of sheep

Animal Sciences: Production/processing of swine

Dairy Industry: Herd Management

Dairy Industry: Dairy Product Processing

Dairy Industry: Promotion and Advertising

Human Medicine

Veterinary Medicine: Small Animals

Veterinary Medicine: Large Animals

Natural Resource Management/Conservation

Cranberry Industry

Special Considerations: Check all that apply to you.

I live on a family farm.

	Gross Farm Income (before any expenses):	(number only)
	Gross Non-Farm Income:	(number only)
	For year:

I am a member of Alpha Gamma Rho Fraternity.

I am a member of the Association of Women in Agriculture.

I am a member of the "Women in Science and Engineering" program.

I plan to live in Babcock House.

I am, or my family is, a member of the Wisconsin Soybean Association.

WSA Member Name:

I took a course in Agricultural Education while in high school.

I am a UW Farm & Industry Short Course graduate.

I am or was a 4-H member.

	Years as 4-H Member:	(number only)
	Years as 4-H Leader:	(number only)

Career Plans: State your career objective in one sentence (note specific occupations if possible).
My career goal is ...

Experiences since high school: Complete the following sentences regarding your significant experiences since high school.
My most significant academic learning experience is ...

The most significant out-of-classroom experience for me has been ...

What I learned from this experience was ...

Internships: In one sentence, describe your intern experiences (if any), and what you did.

Extra Curricular, Volunteer, Leadership and Community Activities

Use the grid below to list your participation in post-high school extra curricular school and non-school activities (such as a part-time job or religious activity). Indicate the number of years that you have been involved in the activity. Examples are given on the first four lines.

Activity or Leadership Position	Leadership Title	# Years Participated
Example: Church Youth Group		3
Example: Soccer Team	Captain	4
Example: UW-Biology Club		2
Example: Part-time job in research laboratory		1

I certify that the information given in this application is correct and complete to the best of my knowledge.

Your application has not been submitted until you check the "I certify..." statement above and click the submit button.

After you submit your application, you will receive a confirmation page. Print the confirmation page for your records. You will need your confirmation number to communicate further with us regarding your application.

Questions? Problems? Didn't get a confirmation page? Contact us at undergrads@cals.wisc.edu or (608) 262-3003.