Student scholarship
Student Scholarship Application

Please fill out to the best of your ability:
AITP Student Number:
Name:
Address Street 1:
City:
Zip Code: (5 digits)
State:
Contact Number/phone:
Email:
Beginning Enrollment Date
Expected Graduation Date:
Seeking::
Overall GPA:
Award/Honor/Scholarships- Please list and the date received:
 Organizations you have memberships with:
Offices held:
Dates of Office held::
Please list the most recent community service activities or employment positions you have been involved in:
Describe your reasons for joining AITP and how you expect to benefit from it in the future::
Today's Date::
Signature- (first and last name)  
Questions or other Comments:

This form will be emailed to Mary Reager, chair of the Scholarship Committee 
If you would like to print out this form and mail us your application please use our pdf format:

And send it to
AITP Cornhusker Chapter
P.O. Box 89724
Lincoln, NE 68501
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