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Susan Hardy Heaney Memorial Scholarship

$500

For a printable copy of this scholarship: Susan Hardy Heaney Memorial Scholarship.

Please complete all required fields below.

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First Name (Required)

Middle Initial

Last Name (Required)

UW Oshkosh Student ID # (Required)

Seven-digit campus ID number.

Home Address (Required)

PO Box

City (Required)

State (Required)

Zip Code (Required)

Your Email Address (Required)

Phone Number (Required)

High School Name (Required)

Graduation Date (Required)

If unsure of exact day, choose the date you feel might be closest.

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Intended Major (Required)

Semester you plan to enter UW Oshkosh (Required)

Year you plan to enter UW Oshkosh (Required)

2013

Will you be a full-time student? (Required)

Yes
No

Please Tell Us About Your School And Community Activities, And Your Career Goals: (Required)

Please limit submission length to 1000 words.

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You will receive a confirmation email upon completion.