UW-La Crosse Extended Learning
Summer Youth Program Scholarship Application - Merit-Based
June–August, 2021| For youth entering grades 1–12
Scholarship criteria are based upon academic merit or teacher recommendation.
1. COLLECT SUPPORTING DOCUMENTS:
Provide one each of the following:
• Student letter: Tell us what interests you about the program topic, why you want to participate in the
particular program you have selected and why you should be selected to receive a scholarship. Be specific.
• Student's grade report(s): Demonstrating the student's current and/or past pattern of good academic
performance
• Letter from student's school: The letter should be from a school representative supporting the student's
academic performance, motivation and rationale for selection as a scholarship recipient.
Age Grade Entering Fall 2021
State Zip
Email Address
2. COMPLETE THE FORM BELOW:
Program Name
Child Name
Child Date of Birth
Address
City
Home Phone
Parent/Guardian #1 Name & Daytime Phone
Parent/Guardian #2 Name & Daytime Phone
School Name/Location
I certify the above information to be true and correct.
Signature of Parent/Guardian
Date
3. SUBMIT this form and supporting documents to:
• Scholarship decision and registration instruction notification will be sent no later than June 8, 2021.
• Please refer to www.uwlax.edu/ex/youth-programs/scholarships for information regarding the percentage of program fees that will be provided through a scholarship.
• If awarded a scholarship, you are required to pay the difference (rounded to the nearest dollar) between the chosen summer program and the scholarship amount.
Your payment of this difference secures your registration for the program.
• Each student may only receive one UWL Extended Learning scholarship per summer. Scholarships are good for one Extended Learning youth program per summer only
and does not include supply/equipment fees. Scholarships are not available for programs $321 or more.
Submit your application as early as possible:
F
irst submission date: April 30, 2021 | Notification date: May 11, 2021
Second submission date: May 31, 2021 | Notification date: June 8, 2021
Funds are awarded on a first-come, first-served basis.
For assistance contact:
UW-La Crosse Extended Learning
ex@uwlax.edu | 608.785.6500
https://liquidfiles.uwlax.edu/filedrop/EX
