Personal Information

First Name

Last Name

Address

City

State

Postal Code

Email

Phone

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. Message frequency may vary. Reply Help for more information. You can reply STOP to opt-out of further messaging. WEAC Privacy Policy

Birth Date

Age

The Kathy Mann Scholarship is available to ethnic minorities

If you identify as an ethnic minority, check the box if you’d like to be considered for the Kathy Mann Scholarship.

Student Consent

I HEREBY AFFIRM that I intend to enter a school of higher education as a full-time student with the purpose of pursuing a major or minor in education. I FURTHER AFFIRM that I intend to be employed in the education profession in the state of Wisconsin. I understand that I must maintain a 3.00 average on a 4.00 point scale, continue to be enrolled in an education major or minor, and annually reaffirm this statement in order to remain eligible for the full four year scholarship.

Parent/Guardian Consent

I, as parent/guardian of the above student, am a WEAC member in good standing. If I do not remain a WEAC member in good standing, I understand the student would become ineligible to continue to receive a WEAC scholarship, if awarded.

Supporting Documentation

Upload Essay (300 words or less)

Upload first letter of recommendation

Upload second letter of recommendation

Upload Guidance Counselor Statement Click here for an example.

Upload Official Transcript

Student Activity Record Consent

I hereby affirm that all the information submitted as part of my student application is true and complete to the best of my knowledge and understand that any false or missing information may disqualify me from consideration or receipt of the scholarship. I also affirm that the essay submitted as part of this student application is my own work.

WEAC Member/Parent Information

Father or Legal Guardian

First Name

Last Name

Address

Phone

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. Message frequency may vary. Reply Help for more information. You can reply STOP to opt-out of further messaging. WEAC Privacy Policy

Member ID Number

WEAC Local and/or Region

Mother or Legal Guardian

First Name

Last Name

Address

Phone

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. Message frequency may vary. Reply Help for more information. You can reply STOP to opt-out of further messaging. WEAC Privacy Policy

Member ID Number

WEAC Local and/or Region

Names and ages of other children in your family

Please specify any special needs, hardships or extenuating circumstances (divorce, only one parent working/contributing, medical, siblings in college, student self-paying for college), you would like to have considered by the committee.

Financial

Financial Statement

OPTIONAL To be filled in by parent or legal guardian of student applicants who wish to have financial need taken into consideration. Financial need may be used to select among otherwise qualified student applicants.

Father or Guardian

Occupation

Work Address

Mother or Guardian

Occupation

Work Address

Taxable income from your most recent federal tax return (line 8B the 1040 form)

Parent Financial Statement Consent

I hereby affirm that the information provided in the Financial Statement is true and complete to the best of my knowledge and understand that any false or missing information may disqualify the student applicant from consideration or receipt of the scholarship.

Continuation of Eligibility

In order to continue eligibility, a recipient must maintain a cumulative grade average of 3.00 on a 4.00 point scale and must continue to be enrolled in an education major or minor.
In order to continue eligibility after the first year of receiving a WEAC scholarship, a recipient's advisor must submit a statement signed by that advisor certifying that the recipient is enrolled in an education major or minor and is maintaining a 3.00 average on a 4.00 point scale. Such statement must be received by WEAC directly from the advisor no later than July 1 of each year. It is the responsibility of the recipient to ensure that the advisor writes and mails the appropriate statement in a timely manner.
A recipient may retain eligibility for up to one year of non-attendance at a college or university for health reasons. In order to retain eligibility, the recipient must submit a statement from a physician explaining the reason(s) for non-attendance. Such statements must be submitted at the beginning of each school term. During the period of non-attendance the student will not receive the scholarship payments. Scholarship payments and eligibility will be extended for a time equal to the period of non-attendance for health reasons.
The recipient’s parent must remain a WEAC member in good standing. If the recipient’s parent/guardian dies while a WEAC member, the recipient would remain eligible to receive the scholarship.
If the parent’s membership is not continued and the scholarship is discontinued, the recipient may appeal to the WEAC Board of Directors.

Student Consent

As the student, I agree to the continuation of eligibility.

Parent/Guardian Consent

As the parent/guardian I agree to the continuation of eligibility.

NOTE: INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED

Personal Information

School and Community Activity Record

Supporting Documentation

WEAC Member/Parent Information

Financial

Continuation of Eligibility