Scholarship Form - Westlands Water District

Scholarship Application

To be considered for the Westlands Water District High School Scholarship please submit all of the following documents:

A completed form (which can be found below).

An essay written by the applicant that is between 350-550 words on one of the three topics listed below. The essay should be typed, double spaced, 12 point Times New Roman font. All essays will be judged based on content and grammar.

Explain how agiculture has affected your life.
Explain how Westlands Water District has affected you and your family.
Explain the importance of agricultural water to California and the west side of the San Joaquin Valley.

A copy of the applicant’s most recent high school transcripts. Unofficial transcripts are accepted.

A copy of the applicant’s acceptance letter from the accredited post-secondary school which the applicant plans to attend. If the letter has yet to arrive it can be provided upon award notification, prior to a check being issued.

Two reference letters, written by non-relatives. The letters must be signed and include the reference’s contact information.

Name(Required)

First Last

Overall GPA(Required)

Age

Address(Required)

Street Address Address Line 2 City State ZIP Code

Do you have a different mailing address?(Required)

Yes

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Planned Field of Study/Major(Required)

Name of Educational Institution(Required)

Career Goals(Required)

Extra Curricular Activities(Required)

If none write “not applicable”

Leadership Experience(Required)

If none write “not applicable”

Honors and Awards(Required)

If none write “not applicable”

Please list any other information about yourself and your family that you feel will assist us in judging your application (Military affiliation, hobbies or interests, etc.)

Uploads

Below are fields to upload the additional required documents as listed at the top of the form.

Please note if the acceptance letter has yet to arrive it can be provided upon award notification, prior to a check being issued.

Essay(Required)

Max. file size: 100 MB.

High School Transcripts(Required)

Max. file size: 100 MB.

Acceptance Letter(Required)

Max. file size: 100 MB.

Reference Letter #1(Required)

Max. file size: 100 MB.

Reference Letter #2(Required)

Max. file size: 100 MB.

You have entered your age as under 18, please be sure to have a parent or guardian sign below.

To the best of my knowledge, the information in this application is true and correct.

I, the undersigned as the applicant (if over 18 years of age at the time of signing) or parent/guardian of the applicant, do hereby authorize Westlands Water District’s Public Affairs Office to use the name, image and likeness of the applicant and information contained within this application in any press communications related to the announcement of the scholarship winners following the scholarship presentation; unless within five (5) days of the notification of the scholarship award, you or the applicant notifies the Public Affairs Office in writing otherwise.

Date

Signature(Required)

If applicant is over 18, they may sign. If applicant is under 18, a parent or guardian must sign.

Name of Signer – Applicant (if over 18) or Parent/Guardian Name(Required)

First Last