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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Untitled Page</TITLE>
<META content=3D"text/html; charset=3Dwindows-1252" =
http-equiv=3DContent-Type>
<META name=3DGENERATOR content=3D"MSHTML 8.00.6001.18876"></HEAD>
<BODY>
<FORM id=3Dform1 method=3Dpost name=3Dform1>
<TABLE border=3D0 cellPadding=3D1 width=3D610 bgColor=3D#666666>
  <TBODY>
  <TR>
    <TD style=3D"WIDTH: 613px" bgColor=3D#ffffff =
align=3Dmiddle>&nbsp;<BR><FONT=20
      size=3D+3><B>College of Business Scholarship =
Application</B></FONT>=20
      <CENTER><FONT size=3D-1><BR><FONT size=3D4>Application Deadline: =
</FONT><FONT=20
      size=3D4><STRONG>Friday, February 26, 2010=20
      </STRONG></FONT></FONT></CENTER><BR>
      <CENTER><FONT size=3D-1><BR><FONT size=3D4>Please provide as much =
information=20
      as possible. <BR>This will enable the committee determine the =
scholarships=20
      you qualify for. </FONT></FONT></CENTER><BR></TD></TR>
  <TR>
    <TD style=3D"WIDTH: 613px">
      <TABLE border=3D0 cellSpacing=3D0 cellPadding=3D10 width=3D770 =
bgColor=3D#cccccc>
        <TBODY>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Student ID Number</FONT> </TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><INPUT style=3D"WIDTH: =
100px"=20
            id=3DtxtStudentID name=3DtxtStudentID>&nbsp;<SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DrfvStudentID>* Please enter your student id =
number!</SPAN><FONT=20
            size=3D-1 face=3Darial></FONT></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Last Name</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<INPUT=20
            style=3D"WIDTH: 212px" id=3DtxtLastName name=3DtxtLastName> =
<SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator1>* Please enter your last=20
            name!</SPAN><FONT size=3D-1 face=3Darial></FONT></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>First Name</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><INPUT style=3D"WIDTH: =
212px"=20
            id=3DtxtFirstName name=3DtxtFirstName> <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator2>* Please enter your first=20
        name!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Middle Name</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><INPUT style=3D"WIDTH: =
212px"=20
            id=3DtxtMiddleName name=3DtxtMiddleName> </TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff align=3Dright>
            <P><FONT face=3Darial>Email Address</FONT></P></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><INPUT style=3D"WIDTH: =
212px"=20
            id=3DtxtEmailAddress name=3DtxtEmailAddress> <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator4>* Please enter your email=20
          address!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff align=3Dright>
            <P><FONT face=3Darial>Local Phone Number</FONT></P></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><INPUT style=3D"WIDTH: =
112px"=20
            id=3DtxtLocalPhone name=3DtxtLocalPhone> <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator5>* Please enter your local phone =

            number!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Local Mailing Address</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<TEXTAREA =
style=3D"WIDTH: 396px; HEIGHT: 98px" id=3DtxtMailingAddress =
name=3DtxtMailingAddress></TEXTAREA>=20
            <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator6>* Please enter your local =
mailing=20
            address!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Home State</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>
            <TABLE id=3DradlHomeState border=3D0>
              <TBODY>
              <TR>
                <TD><INPUT id=3DradlHomeState_0 value=3DNC CHECKED =
type=3Dradio=20
                  name=3DradlHomeState><LABEL =
for=3DradlHomeState_0>North=20
                  Carolina</LABEL></TD></TR>
              <TR>
                <TD><INPUT id=3DradlHomeState_1 value=3DOther =
type=3Dradio=20
                  name=3DradlHomeState><LABEL=20
              =
for=3DradlHomeState_1>Other</LABEL></TD></TR></TBODY></TABLE></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Home County <BR>(where you attended high=20
school)</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><SELECT =
id=3DddlHomeCounty=20
            name=3DddlHomeCounty> <OPTION =
value=3DAlleghany>Alleghany</OPTION>=20
              <OPTION value=3DAshe>Ashe</OPTION> <OPTION=20
              value=3DAvery>Avery</OPTION> <OPTION=20
              value=3DBuncombe>Buncombe</OPTION> <OPTION=20
              value=3DCherokee>Cherokee</OPTION> <OPTION =
value=3DClay>Clay</OPTION>=20
              <OPTION value=3DCleveland>Cleveland</OPTION> <OPTION=20
              value=3DGraham>Graham</OPTION> <OPTION=20
              value=3DHaywood>Haywood</OPTION> <OPTION=20
              value=3DHenderson>Henderson</OPTION> <OPTION=20
              value=3DJackson>Jackson</OPTION> <OPTION =
value=3DMacon>Macon</OPTION>=20
              <OPTION value=3DMadison>Madison</OPTION> <OPTION=20
              value=3DMitchell>Mitchell</OPTION> <OPTION=20
              value=3DMcDowell>McDowell</OPTION> <OPTION =
value=3DPolk>Polk</OPTION>=20
              <OPTION value=3DRutherford>Rutherford</OPTION> <OPTION=20
              value=3DSwain>Swain</OPTION> <OPTION=20
              value=3DTransylvania>Transylvania</OPTION> <OPTION=20
              value=3DWatauga>Watauga</OPTION> <OPTION=20
              value=3DYancey>Yancey</OPTION> <OPTION selected=20
              value=3DOther>Other</OPTION></SELECT></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            color=3D#0000ff face=3Darial>*</FONT> <FONT =
face=3Darial>Gender</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>
            <TABLE id=3DradlGender border=3D0>
              <TBODY>
              <TR>
                <TD><INPUT id=3DradlGender_0 value=3DMale type=3Dradio=20
                  name=3DradlGender><LABEL =
for=3DradlGender_0>Male</LABEL></TD></TR>
              <TR>
                <TD><INPUT id=3DradlGender_1 value=3DFemale type=3Dradio =

                  name=3DradlGender><LABEL=20
              =
for=3DradlGender_1>Female</LABEL></TD></TR></TBODY></TABLE></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px; HEIGHT: 64px" bgColor=3D#ffffff=20
            align=3Dright><FONT color=3D#0000ff face=3Darial>*</FONT> =
<FONT=20
            face=3Darial>Age</FONT></TD>
          <TD style=3D"WIDTH: 240px; HEIGHT: 64px" align=3Dleft><INPUT =
id=3DtxtAge=20
            name=3DtxtAge> <SPAN=20
            style=3D"FONT-FAMILY: Arial; VISIBILITY: hidden; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRangeValidator1>*Please enter your age as a =
number!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Student Status</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>
            <TABLE id=3DradlStudentStatus border=3D0>
              <TBODY>
              <TR>
                <TD><INPUT id=3DradlStudentStatus_0 =
value=3DUndergraduate CHECKED=20
                  type=3Dradio name=3DradlStudentStatus><LABEL=20
                  =
for=3DradlStudentStatus_0>Undergraduate</LABEL></TD></TR>
              <TR>
                <TD><INPUT id=3DradlStudentStatus_1 value=3DGraduate =
type=3Dradio=20
                  name=3DradlStudentStatus><LABEL=20
                  =
for=3DradlStudentStatus_1>Graduate</LABEL></TD></TR></TBODY></TABLE></TD>=
</TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Enrollment Status</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><BR>
            <TABLE id=3DradlEnrollmentStatus border=3D0>
              <TBODY>
              <TR>
                <TD><INPUT id=3DradlEnrollmentStatus_0 value=3DFullTime =
CHECKED=20
                  type=3Dradio name=3DradlEnrollmentStatus><LABEL=20
                  for=3DradlEnrollmentStatus_0>Full =
Time</LABEL></TD></TR>
              <TR>
                <TD><INPUT id=3DradlEnrollmentStatus_1 value=3DPartTime =
type=3Dradio=20
                  name=3DradlEnrollmentStatus><LABEL=20
                  for=3DradlEnrollmentStatus_1>Part=20
            Time</LABEL></TD></TR></TBODY></TABLE></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Graduation Year</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<SELECT=20
            id=3DddlGraduationYear name=3DddlGraduationYear> <OPTION=20
              value=3D2009>2009</OPTION> <OPTION selected =
value=3D2010>2010</OPTION>=20
              <OPTION value=3D2011>2011</OPTION> <OPTION =
value=3D2012>2012</OPTION>=20
              <OPTION value=3D2013>2013</OPTION> <OPTION =
value=3D2014>2014</OPTION>=20
              <OPTION value=3D2015>2015</OPTION></SELECT></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Graduation Semester</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<SELECT=20
            id=3DddlGraduationSemester name=3DddlGraduationSemester> =
<OPTION=20
              value=3DFall>Fall</OPTION> <OPTION selected=20
              value=3DSpring>Spring</OPTION> <OPTION=20
            value=3DSummer>Summer</OPTION></SELECT></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px; HEIGHT: 34px" bgColor=3D#ffffff =
align=3Dright>
            <P><FONT face=3Darial>Total Hours Earned at =
WCU</FONT></P></TD>
          <TD style=3D"WIDTH: 240px; HEIGHT: 34px" =
align=3Dleft>&nbsp;<INPUT=20
            id=3DtxtTotalHoursEarned name=3DtxtTotalHoursEarned> <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator7>* Please enter the total credit =
hours you=20
            have earned at WCU!</SPAN> <SPAN=20
            style=3D"FONT-FAMILY: Arial; VISIBILITY: hidden; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRangeValidator2>*Please enter the total credit hours =
you have=20
            earned at Western as a whole number!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>Hours Currently Enrolled</FONT> </TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<INPUT=20
            id=3DtxtHoursCurrentlyEnrolled =
name=3DtxtHoursCurrentlyEnrolled> <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator8>* Please enter the number of =
hours you=20
            are currently enrolled in at WCU!</SPAN> <SPAN=20
            style=3D"FONT-FAMILY: Arial; VISIBILITY: hidden; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRangeValidator3>*Please enter the the number of credit =
hours you=20
            are currently enrolled in at Western!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>1st Major</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><SELECT =
id=3DddlFirstMajor=20
            name=3DddlFirstMajor> <OPTION selected=20
              value=3DACCT>Accounting</OPTION> <OPTION =
value=3DBA>Business=20
              Administration and Law</OPTION> <OPTION =
value=3DCIS>Computer=20
              Information Systems</OPTION> <OPTION=20
              value=3DENTR>Entrepreneurship</OPTION> <OPTION =
value=3DFIN_PFP>Finance=20
              - PFP Concentration</OPTION> <OPTION =
value=3DFIN_CORP>Finance -=20
              Corporate Concentration</OPTION> <OPTION =
value=3DHOSP>Hospitality=20
              &amp; Tourism</OPTION> <OPTION value=3DINTB>International=20
              Business</OPTION> <OPTION value=3DMGT>Management</OPTION> =
<OPTION=20
              value=3DSPTMGT>Sport Management</OPTION> <OPTION=20
              value=3DOther>Other</OPTION></SELECT> </TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>2nd Major</FONT> <BR><FONT size=3D-2 =
face=3Darial>(if=20
            applicable)</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft><SELECT =
id=3DddlSecondMajor=20
            name=3DddlSecondMajor> <OPTION =
value=3DACCT>Accounting</OPTION>=20
              <OPTION value=3DBA>Business Administration and =
Law</OPTION> <OPTION=20
              value=3DCIS>Computer Information Systems</OPTION> <OPTION=20
              value=3DENTR>Entrepreneurship</OPTION> <OPTION =
value=3DFIN_PFP>Finance=20
              - PFP Concentration</OPTION> <OPTION =
value=3DFIN_CORP>Finance -=20
              Corporate Concentration</OPTION> <OPTION =
value=3DHOSP>Hospitality=20
              &amp; Tourism</OPTION> <OPTION value=3DINTB>International=20
              Business</OPTION> <OPTION value=3DMGT>Management</OPTION> =
<OPTION=20
              value=3DMKT>Marketing</OPTION> <OPTION =
value=3DSPTMGT>Sport=20
              Management</OPTION> <OPTION value=3DOther>Other</OPTION> =
<OPTION=20
              selected value=3DNone>None</OPTION></SELECT> </TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>WCU Overall GPA</FONT></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<INPUT =
id=3DtxtGPAOverall=20
            name=3DtxtGPAOverall> <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator9>* Please enter your overall WCU =

            GPA!</SPAN> <SPAN=20
            style=3D"FONT-FAMILY: Arial; VISIBILITY: hidden; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRangeValidator4>*Please enter your overall GPA at =
Western as a=20
            number between 0 and 4.0!</SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial>WCU GPA in (first) major</FONT> <BR></TD>
          <TD style=3D"WIDTH: 240px" vAlign=3Dtop =
align=3Dleft>&nbsp;<INPUT=20
            id=3DtxtGPAInMajor name=3DtxtGPAInMajor> <SPAN=20
            style=3D"DISPLAY: none; FONT-FAMILY: Arial; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRequiredFieldValidator10>* Please enter your GPA in =
your major at=20
            WCU!</SPAN> <SPAN=20
            style=3D"FONT-FAMILY: Arial; VISIBILITY: hidden; COLOR: red; =
FONT-WEIGHT: bold"=20
            id=3DRangeValidator5>*Please enter your GPA in your major at =
Western=20
            as a number between 0 and 4.0! </SPAN></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial><FONT color=3D#0000ff face=3Darial>*</FONT> WCU =

            Campus<BR>Service Activities</FONT><BR>
            <P><FONT size=3D-2 face=3Darial>List up to four=20
          activities<BR></FONT></P></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<TEXTAREA =
style=3D"WIDTH: 475px; HEIGHT: 175px" id=3DtxtCampusService =
name=3DtxtCampusService></TEXTAREA></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial><FONT color=3D#0000ff face=3Darial>*</FONT> =
<FONT=20
            face=3Darial>Civic/Community Service Activities</FONT>=20
            <P><FONT size=3D-2 face=3Darial>List up to four=20
            activities<BR></FONT></FONT></P></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<TEXTAREA =
style=3D"WIDTH: 475px; HEIGHT: 175px" id=3DtxtCommunityService =
name=3DtxtCommunityService></TEXTAREA></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px; HEIGHT: 50px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px; HEIGHT: 50px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            face=3Darial><FONT color=3D#0000ff face=3Darial>*</FONT> =
Service=20
            Details</FONT><BR>
            <P><FONT size=3D-2 face=3Darial>Describe your leadership =
roles, <BR>time=20
            commitment and personal accomplishments related to your =
campus and=20
            service activities. </FONT></P></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<TEXTAREA =
style=3D"WIDTH: 474px; HEIGHT: 175px" id=3DtxtServiceDetails =
name=3DtxtServiceDetails></TEXTAREA></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff>
            <HR SIZE=3D1 noshadow>
          </TD>
          <TD style=3D"WIDTH: 240px">
            <HR SIZE=3D1 noshadow>
          </TD></TR><!-- =
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D -->
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            color=3D#0000ff face=3Darial>*</FONT> <FONT =
face=3Darial>Grants,=20
            Scholarships, and Loans You Are Currently Receiving</FONT>=20
            <P><FONT size=3D-2 face=3Darial>Please list and show =
<BR>dollar amount=20
            for each.</FONT> </P></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>
            <P>&nbsp;<TEXTAREA style=3D"WIDTH: 475px; HEIGHT: 175px" =
id=3DtxtCurrentScholarships =
name=3DtxtCurrentScholarships></TEXTAREA></P></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff align=3Dright>
            <P><FONT face=3Darial>Are you currently receiving any =
<BR>Athletic=20
            Scholarships?</FONT></P></TD>
          <TD style=3D"WIDTH: 240px" vAlign=3Dtop align=3Dleft><FONT =
size=3D-1=20
            face=3Darial>
            <TABLE id=3DradlAthleticScholarship border=3D0>
              <TBODY>
              <TR>
                <TD><INPUT id=3DradlAthleticScholarship_0 value=3DN =
CHECKED=20
                  type=3Dradio name=3DradlAthleticScholarship><LABEL=20
                  for=3DradlAthleticScholarship_0>No</LABEL></TD></TR>
              <TR>
                <TD><INPUT id=3DradlAthleticScholarship_1 value=3DY =
type=3Dradio=20
                  name=3DradlAthleticScholarship><LABEL=20
                  =
for=3DradlAthleticScholarship_1>Yes</LABEL></TD></TR></TBODY></TABLE></FO=
NT></TD></TR>
        <TR>
          <TD style=3D"WIDTH: 131px" bgColor=3D#ffffff =
align=3Dright><FONT=20
            color=3D#0000ff face=3Darial>*</FONT> <FONT =
face=3Darial>Financial Need=20
            Details</FONT>=20
            <P><FONT size=3D-2 face=3Darial>Information that you =
believe<BR>will=20
            help qualify you to be<BR>considered for =
scholarships<BR>based on=20
            financial need. </FONT></P></TD>
          <TD style=3D"WIDTH: 240px" align=3Dleft>&nbsp;<TEXTAREA =
style=3D"WIDTH: 475px; HEIGHT: 175px" id=3DtxtFinancialNeedDetails =
name=3DtxtFinancialNeedDetails></TEXTAREA></TD></TR>
        <TR>
          <TD bgColor=3D#ffffff colSpan=3D2>
            <HR SIZE=3D1 noshadow>
            <FONT color=3D#0000ff face=3Darial>*</FONT> <FONT size=3D-1=20
            face=3Darial><I>This information is required if you are =
interested in=20
            scholarships that are based on age, gender, service or =
financial=20
            need.</I></FONT> </TD></TR>
        <TR bgColor=3D#ffffff>
          <TD colSpan=3D2 align=3Dmiddle>
            <HR SIZE=3D1 noshadow>

            <P>
            <CENTER><FONT size=3D-1><BR><FONT size=3D4>Print this form =
out and bring=20
            to Vicki Fisher in Forsyth 225. <BR>If the information does =
not all=20
            fit on the form, please attach additional sheets=20
            =
</FONT></FONT></CENTER></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABL=
E>
<DIV></DIV><BR></FORM></BODY></HTML>

