Scholarship Application

Yearly Family Income (include your parent's income if you are listed on their income tax return) *

Number of children *

Number of family members *

Ages - if applicable (For Example: 5, 6, 9, 15)

How many dependent children do you have? (if applicable)

Does anyone else in the family attend a college or university? *

From what High School did you graduate? *

Are you a resident of WV? *

How many hours are you employed per week? *

Are you a graduate of a 2+2 program? *

List activities that demonstrate your leadership abilities:

List activities that demonstrate your business experience:

List university organizations you're a member of and any offices held:

THIS INFORMATION WILL BE KEPT CONFIDENTIAL.

Lewis College of Business