2022-2023 Adult Undergraduate Scholarship Application

1

First Name: * This field is required.

2

Last Name: * This field is required.

3

Student ID #:* This field is required.

4

Street Address:* This field is required.

5

City, State, ZIP code* This field is required.

6

Current age: * This field is required.

7

Do you already have a Bachelor's, Master's or Doctorate degree?* This field is required.Previous degrees

YESNO

8

Current Degree Program (Major):* This field is required.

9

Start Term at Widener:* This field is required.

10

Widener GPA (most recent)* This field is required.

11

Anticipated Graduation Date:* This field is required.

12

Do you plan to receive tuition reimbursement from either your employer or military benefits?* This field is required.

Yes

No

13

If you answered "yes" regarding tuition reimbursement, please identify how much reimbursement you are eligible for during this semester. * This field is required.

14

Type of Application* This field is required.

New application

Renewal (Previous Recipient)

15

Describe your biographical history, including family and special circumstances, that have influenced your decision to continue your education.* This field is required.

0/1000

16

Describe your rationale for applying for funding for this semester.* This field is required.

0/1000

17

Summarize your educational and career goals, including your rationale for choosing your field of study.* This field is required.

0/1000