NDRWSA - Denne Scholarship Application

Contact Information

Name^*

Phone Number^*

Email Address^*

Address^*

City^*

State^*

ZIP Code^*

Application Information

City or Rural Water System Employee you are affiliated with and their position OR elected official name you are affiliated with and their title OR 'self' if you are a participant in the NDRW Apprenticeship Program^*

Your relationship to employee/elected official OR 'self' if you are a participant in the NDRW Apprenticeship Program^*

Name of city/rural water system^*

Name of school you will attend OR Apprenticeship Program^*

Major or course of study^*

Career Goals^*

Please write a brief paragraph summarizing your career goals.

Extracurricular Activities^*

List any extracurricular activities including academic, athletic, volunteer hours, community service, etc.

Transcript^*

Include a transcript of the past 2 years of high school education and/or college education. Please include the applicants name in the file name.

Applicant Essay^*

Write a 400-500 word essay on the importance of the water industry. Please include the applicants name in the file name.

Financial Need^*

Please describe any unusual circumstances or financial hardships that affects your need for financial assistance.

If employed, please explain if your employer provides any compensation for your education

Statement of intent^*

I hereby verify that the statements and information disclosed in this application are true and accurate, and have been provided in good faith. I intend to continue my education during this school year and promise to use all scholarship funds provided by the NDRWSA to defray the cost of my education. I understand that if I am chosen as a winner, my essay and photo will be printed in the ND Water Magazine and may be used for social media purposes.

Photo^*

If you are selected as a recipient of the award, you will be asked to provide an image of yourself to be used for the award announcement. This image will be used in print and may be used for social media purposes. Images must be at least 300 DPI or greater and include the applicants name in the file name.