Please complete BOTH sides of the Hathaway Application
Remedial Courses: Hathaway cannot fund
classes that are under 1000 level. For
example, if you test into MATH_0930
Intermediate Algebra, and are enrolled in 12
total credits, the three credits for the math
class aren’t counted toward your total
Hathaway enrollment or Hathaway GPA.
Hathaway is prorated for less than full-time
non-remedial enrollment, so in this
example, you would only be awarded for 9
credits rather than 12 credits.
___________________________________________________________ ____________________ __________________________
Last Name First Name M.I. EWC Student ID Number Social Security Number (last four digits)
___________________________________________________________ _______________________________________________
Mailing Address (include apartment number) E-mail Address
___________________________________________________________ _______________________________________________
City, ST, Zip Phone Number (include area code)
• I am applying for Hathaway to be started (initiated) at EWC for the following term and year: (Select one)
Applications and all supporting documents (official transcripts, test scores, etc.) MUST be submitted prior to the first day of class for your program.
Students interested in using Hathaway during the summer must complete a Summer Hathaway Application.
___ Fall Year: ___________
___ Spring Year: ___________
• I plan on enrolling/registering as: (Check one)
Hathaway is prorated for less than full-time enrollment, and can only pay for non-remedial credits.
___ Full-time (12+ credits per semester)
___ Part-time (6-11 credits per semester)
• Have you received, or do you anticipate receiving any of the following? Select one and complete the requested date(s) and
section(s) for the selection you made. Use mm/dd/yyyy for date format.
___ Yes, High School Diploma
Date of Graduation: __________________________________
___ Yes, Home School Diploma
Date of Graduation: __________________________________
___ Yes, High School Equivalency Certificate
Date of Certificate Completion: ___________________________
Date you would have graduated High School: __________________
• High School Information:
___________________________________________________________________________________ _______________
High School Name (HSEC list prior high school attended, Home School list “homeschooled”) High School State
• If you have previously used your Hathaway scholarship, please list the school(s) and year(s):
You will need to submit final, official college transcripts for this/these college(s).
_______________________________________________________________ _________________________________
College Name Dates attended (MM/YY—MM/YY)
_______________________________________________________________ _________________________________
College Name Dates attended (MM/YY—MM/YY)
RETURN COMPLETED FORM TO:
EWC Financial Aid Office
3200 West C Street
Torrington, WY 82240
p: 307.532.8327 f: 307.532.8222
financialaid@ewc.wy.edu
Fall and/or Spring Application
