___________________________________________________________ ____________________ __________________________
Last Name First Name M.I. Date of Birth EWC Student ID (if known)
___________________________________________________________ _______________________________________________
Mailing Address (include apartment number) E-mail Address
___________________________________________________________ _______________________________________________
City, ST, Zip Phone Number (include area code)
• I am applying for Hathaway to be transferred FROM EWC to the following
institution: (Select one)
• I plan on using Hathaway at the selected institution beginning the ________________ semester of ______________.
Please note: if you are currently attending EWC, the Hathaway Coordinator MUST wait until final grades are submitted
before a transfer transcript can be sent to the selected institution.
Hathaway Scholarship
Transfer Transcript Request
By signing and submitting this application, I certify that all information provided is complete and correct. I understand that this request is
to send Hathaway information
to the selected institution, and that this request does not fulfill the transcript request process to request a
final, official college (academic) transcript be sent to the selected institution. I understand that it is my responsibility to contact the
financial aid office at the college/university that I am/will be attending if I have questions regarding the Hathaway Scholarship Program.
Student signature: _______________________________________________ Date: ____________________________
CERTIFICATION AND SIGNATURE
HATHAWAY AWARD AND USE INFORMATION
You have six years to use the award once you start receiving funds (unless granted an exception for military or religious service).
In addition to the six year timeline restriction, Hathaway has set guidelines for using Hathaway Awards and overall eligibility:
Honors, Performance, and Opportunity Levels: Students who receive the Honors, Performance, or Opportunity levels of the
Hathaway Scholarship can receive the award for the equivalent of eight full-time semesters (96 total paid credits). These students
can choose to use their Hathaway for up to four full-time semesters (48 paid credits) at a community college and can then use the
rest of their eligibility at the University of Wyoming OR they can choose to attend the University of Wyoming for all eight
semesters of eligibility.
Provisional Opportunity Level: Students receiving the Provisional Opportunity level of the Hathaway Scholarship can receive the
award for the equivalent of four full-time semesters (48 paid credits) at a community college. Should students receive a certificate
during those semesters, the scholarship may be extended at the community college so they can pursue an additional certificate or an
Associate's Degree. Should students receive an Associate's Degree, they may transfer the scholarship (if they have not already been
paid for 96 total credits) to use at the University of Wyoming to pursue a Bachelor's Degree.
SUBMIT FORM
