Tennessee Tech University
Application for the Wilma Carr Scholarship
DEADLINE: December 15, 2018
Name: ______________________________________________ T Number_______________________
last first middle
street city state zip
Phone number (optional)________________ How may we notify you?______________________________
Term of Intended Enrollment: Fall 2019________Spring 2020_______ Summer 2020_______
Student Status: Full-time_____ Part-time_____ GPA in good standing? (2.0 or better)__________
Do we have permission to verify your grades? ____________Anticipated graduation date: _____________
ADDITIONAL SCHOLARSHIP INFORMATION
Are you currently receiving a scholarship(s) _____Yes _____No If yes, please list the amount(s) and name(s) of
scholarships. In addition, please list any other financial assistance you are receiving.
Employer Name Average No. of Hours
Worked per week Dates Employed Responsibilities
GOALS STATEMENT INSTRUCTIONS
All applicants must submit a statement of goals (200 words or less) to complete the scholarship application. Please
tell us why this scholarship is important to you. (attach separate sheet)
TELL US ABOUT YOUR SITUATION (attach separate sheet)
Any information on this application will be held in strict confidence.
Please note: Students must also complete the general scholarship application in ScholarWeb by December 15.