2017/2018 WCSWMA Scholarship Wisconsin Counties Solid Waste Management Association (WCSWMA)

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1 ( WCSWMA) Scholarship Program: The is an Internal Revenue Service 501(c)3 non-profit with a mission focused on environmental education, solid waste management, recycling, environmental engineering and the environmental sciences. In order to achieve its mission, WCSWMA has develop a scholarship program for university students majoring in fields related to the noted fields. Scholarships are open to junior, senior and post-graduate level students, with declared majors and enrolled at accredited Wisconsin universities or colleges. Annually WCSWMA provides up to two (2) scholarships of $2,000 each. Scholarships may be used to offset the cost of credit courses, books, laboratory supplies, computer supplies, electronic devices and living expenses. To learn more about WCSWMA contact any member of the Scholarship Committee: Gerard Neuser-Director Manitowoc County Public Works 1028 South 9th Street 3rd Floor West Manitowoc, WI gerryneuser@co.manitowoc.wi.us Meleesa Johnson-Director Marathon County Solid Waste R18500 State Hwy 29 Ringle, WI X104 meleesa.johnson@co.marathon.wi.us Pat O Brien Winnebago County Solid Waste Management Board Chair 1403 Westcreek Ln. Neenah, WI retchief03@gmail.com Timeline: Scholarship Announcement: March 13, 2017 Scholarship Submission: May 16, 2017 Scholarship Announcement: June 30, 2017 Scholarship payments: July 21, 2017

2 Qualified Students are those students currently enrolled full-time at an accredited Wisconsin university or college and are entering their junior or senior undergraduate year or working on a graduate degree. Degree areas for consideration as a part of this scholarship are environmental education, recycling, waste management, environmental engineering, the environmental sciences, public administration or a related field or other degree areas with a demonstrated interest in a career in waste resource management industry. To request application forms contact any WCSWMA Scholarship Committee member: Gerard Neuser-Director Manitowoc County Public Works 1028 South 9th Street 3rd Floor West Manitowoc, WI gerryneuser@co.manitowoc.wi.us Meleesa Johnson-Director Marathon County Solid Waste R18500 State Hwy 29 Ringle, WI X104 meleesa.johnson@co.marathon.wi.us Pat O Brien Winnebago County Solid Waste Management Board Chair 7535 Richter Lane Larsen, WI retchief03@gmail.com

3 Deadline & submission information All completed forms and back-up documentation, including your college transcript and discussion paper, must be received by May 16, Forms are available in electronic format and may be requested from the scholarship chairperson. Submissions may be via US Postal Service or to any member of the WCSWMA Scholarship Committee: Gerard Neuser-Director Manitowoc County Public Works 1028 South 9th Street 3rd Floor West Manitowoc, WI Application Form Applicant s full name: Meleesa Johnson-Director Marathon County Solid Waste R18500 State Hwy 29 Ringle, WI X104 meleesa.johnson@co.marathon.wi.us Pat O Brien Winnebago County Solid Waste Management Board Chair 1403 Westcreek Ln. Neenah, WI retchief03@gmail.com Applicant s mailing & address and telephone: College / university attending in 2016/17 academic year: name, address, and telephone: Faculty advisor name &

4 Circle one: Junior Senior Post-graduate Current grade point average: What major(s) are you pursuing at this time? Please attach a one-to-two page discussion of your views on waste resource management (waste disposal, recycling, waste reduction, beneficial use of waste materials, product stewardship, etc.), what it is, who participates, what are the current issues facing the profession, and your thoughts on its future direction. Signature of applicant: Date: Signature of Faculty Advisor: Date:

5 Documentation of Academic Achievement Awards and Honors Please include: 1. Name of award, and 2. Date of award. Award Date of Award I,, verify that the above information is true to the best of my knowledge. Applicant s Signature This form may be copied if more space is needed.

6 Documentation of Engaged Citizenship (student organizations, ROTC, civic engagement, civic/religious/charitable groups, etc.) Please include: 1. Name of activity, and 2. Date of involvement. Activity Date of Involvement I,, verify that the above information is true to the best of my knowledge. Applicant s Signature This form may be copied if more space is needed.

7 Documentation of Extracurricular Activities Qualifications (athletics, music, drama, debate, student paper, affiliation with professional organizations, attendance at solid waste or recycling related conferences or training programs, employment, etc.) Please include: 1. Name of activity, and 2. Date involved. Activity Date of Involvement I,, verify that the above information is true to the best of my knowledge. Applicant s Signature This form may be copied if more space is needed.