WICHITA INDEPENDENT BUSINESS ASSOCIATION (WIBA) SCHOLARSHIP
Wichita State University
APPLICATION & VERIFICATION OF MEMBERSHIP
For academic year: Fall 20 – Spring 20
Name: myWSU ID#:
Address:
City, State, ZIP:
Phone: Email:
Check the one that applies to you: I am a member of WIBA
I am a dependent of a member of WIBA
I am not associated with WIBA
If you are a dependent, who is the member of WIBA?
Name: Relationship to you:
Name of the WIBA business:
If currently in college: Cumulative credit hours: Cumulative GPA:
If not yet in college: High School GPA: ACT or SAT:
Anticipated date of graduation from Wichita State University (month/year):
Have you submitted the Free Application for Federal Student Aid (FAFSA)? Yes No
List school organizations and activities you have been involved in and the dates. Describe your service. Include
any leadership roles or significant contributions.
Application deadline is April 30.