Name________________________________Birthdate_______________
Address____________________________________________________
City_____________________State_____________Zip Code__________
Telphone:
Hm_______________Work _______________ Mobile_______________
Degree program______________________________________________
E-mail address_______________________________________________
Graduate units completed ______ Graduate GPA _______
Anticipated date of completion of degree _______
Employer________________________Number of hours per week _____
Employer's address__________________________________________
City____________________State___________Zip Code____________
PLEASE ATTACH THE FOLLOWING SUPPORTING DOCUMENTATION:
- A statement of 500 words or less outlining your personal and professional goals and accomplishments, and demonstrating how you fulfill the purpose of the scholarship as stated above. How would the scholarship funding make it possible for you to continue your education in a way otherwise not possible?
- Resume or curriculum vitae.
- Current USC transcript (an unofficial copy is acceptable).
PLEASE SEND THE FOLLOWING UNDER SEPARATE COVER:
Two letters of recommendation, at least one from a USC professor. The other, if appropriate, may be from an employer or professional colleague.
I understand that all documents sent to WIM become the property of WIM and will not be returned to me or duplicated for my purposes for any reason.
Signature:___________________________________Date:____________
Finalists will be required to meet with the Scholarship Committee for a brief interview. Awards will be presented at the May USC Women in Management general meeting of the current year.
Only complete applications received by March 31 of the current year will be considered.
Please mail all materials to: