The LaVeve P Whetten Memorial Scholarship
Name T Number
Phone Number E-mail
Permanent Address
City State Zip Code
Class Rank (pick one): Number of years attending SUU
Current Accumulative Grade Point Average Anticipated year of graduation
Total College Credits Earned (College transfer credit must be included)
Major Minor
Honors you have received (List previous awards & scholarships):
What are your professional objectives and goals for the future?
Discuss why you would make an outstanding LaVeve P. Whetten Scholarship recipient:
I verify that the information provided is accurate.
Signature ______________________________________________ Date ___________________
Senior