Apply for Scholarships offered at Southwest Tech

Welcome to Southwest Tech Foundation's online Scholarship Application!

The Scholarship Application is closed for the 2017-2018 academic year.

In 2016-2017 the Southwest Tech Foundation proudly awarded 275 scholarships valuing $165,945.

We have created the 22^nd Annual Scholarship Reception publication that lists all scholarships given out this past year.

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* Denotes required fields.

Personal/Contact Information

Student ID

If you are a returning Southwest Tech student or have been accepted, please enter your student ID #. example: 5551222 (NOT: ste1234)

* First Name

* Last Name

* Gender

Male

Female

* Date of Birth (mm/dd/yyyy)

* Phone

* Preferred Email

Home Address

* Address 1

Address 2

* City

* Zip

Current Address If you moved to attend Southwest Tech

Address 1

Address 2

City

Zip

Education Background

I graduated or am attending high school

Select the High School you Attended

High School Name

I completed a GED/HSED

* Program

If you are enrolled in two programs, please let us know what the second program is.

Program

See the curriculum on your program page for semester credits.

* No. of Projected First Semester Credits
* No. of Projected Second Semester Credits

* Expected Graduation From Southwest Tech

Following is a list of items related to the criteria of some scholarships. Please check and fill in all that apply.

I have a documented disability.

I have a with a disability (special needs).

I have a child/children in a licensed or certified day care.

Facility provider name (not a family member):
Please complete the Child Care Certification Form.
(This form must be printed, filled out and returned to the Foundation office.)

I am a veteran.

I was honorably discharged.

I served in conflict.

I am an Alliant Energy Customer.

I am related to a member of the tavern league.

I am employed at Prairie Industries in Prairie du Chien, WI.

I have an immediate family member employed at Prairie Industries in Prairie du Chien, WI.

Name of family member:
Relationship to you:

I submitted a FAFSA for the 2017-18 school year.

I am receiving tuition assistance through Upland Hills Health.

I am receiving tuition assistance through Grant Regional Health Center.

I have used the Academic Services Center.

I completed remediation/coursework assistance through Academic Services at Southwest Tech.

I received Basic Education (BE) in the Learning Center, BE lab, or outreach classes of Southwest Tech.

I am a member of the Southwest Tech SWAT Accounting Club.

I am accepted into the Law Enforcement Academy.

I am a member of the Southwest Tech Blue Line Club.

I am currently employed as a Nursing Assistant.

I plan on only completing the LPN program.

I plan to continue my education after receiving my Assocaiate degree in Agribusiness/Science Technology or Agricultureal Power & Equipment Technician.

I am currently enrolled in a Farm Business & Production Management Program course.

One of my parents is taking or has taken a Farm Business & Production Management Program course.

Parent name:

I have earned 30 or more credits in the Midwifery Program.

A midwifery scholarship recognizes the life-long commitment to nursing expressed by a nurse who began her career caring for indigent women and children in an urban poorhouse, went on to do volunteer nursing during World War II, and retired from active nursing at age 75. If you were given the opportunity to meet her, what would you tell her about yourself and your own commitment to midwifery? (500 words or less)

Why are you the best candidate to receive a midwifery scholarship? (500 words or less)

What will receiving a midwifery scholarship enable you to achieve that you could not achieve otherwise? (500 words or less)

Why are you interested in a career as a telephone or electrical lineman? (1000 words or less)

I have completed one year of a culinary program and are coming back for a 2nd.

I am a member of the Business Professionals of America (BPA).

I am a member of Phi Theta Kappa at Southwest Tech.

I am a member of the Southwest Tech Graphic Innovations Group (GIG).

I am a member of the Southwest Tech Student Nurses Association.

I am a member of the Southwest Tech Student Government.

I am a single parent.

I am a displaced homemaker. (a male or female who is forced to become the household income provider
as the result of a death, divorce, or unemployment of his/her spouse).

I am a first generation college student.

I have completed at least one semester at an accredited university or technical college.

My one-way commute to Southwest Tech is:

Please answer the following narrative questions. These questions account for 70% of the overall application score.

Leadership Activities:
* Please list school, professional, or civic activities you were or are currently involved in.

* Rate Your Leadership Skills. 1 - Poor | 5 - Best

Career Objectives:
* What are your career goals and how does attending Southwest Tech help further your goals?

Financial Need:
* Please explain your financial need. Include employment situation and any special circumstances.

* I give my permission to the Southwest Tech Foundation to release the scholarship information, general information from above, and my photograph to scholarship donors, and for usage in other promotional purpose.

yes

You must have two individuals submit reference forms. References are extremely important when awarding scholarships. You may ask an instructor, counselor, employer, clergy, or other reference not related to you to complete this form. Your scholarship application WILL NOT be considered unless two reference forms are received.

(NOTE: Students enrolled in the Information Technology Programs must have their program instructor Aaron Holverson complete one of the two reference forms.)

First Reference

* Name

* Email

Second Reference

* Name

* Email

NOTE: The Scholarship Reference Form is completed online, and can be accessed at https://www.swtc.edu/foundation/scholarships/recommendation-form
Your references will be emailed the link once your scholarship application is submitted.

Last Step!

Please review the information you entered and make any changes needed by clicking the Previous button.

Personal & Program Information

Checklist

Narrative Questions

Recommendation Forms

By clicking the "Sign and Submit" button below, I certify that the information I have provided is true and complete to the best of my knowledge. Further, I authorize Southwest Tech to release a transcript of my secondary school record and any other pertinent information to the Southwest Tech Foundation. This application and supporting documents become the property of Southwest Tech.

By signing below I authorize my selected references to furnish the Foundation with any and all information in connection with my scholarship application.

You need to electronically "sign" the application.
First, we need your name. Next we need your birthdate.

* Enter your name
* Enter your birthdate

Sign and Submit

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