Scholarship covers full registration – $350. Hotel lodging is not included (single :$62/night and double :$72)
Eligibility: All Wisconsin residents may apply.
Requirements: All applicants must supply the information requested below.
Selection: Scholarships are awarded, by a committee, on the basis of financial need, geographic region, and length of employment in the AODA field.
Deadline: Applications are due to the WAAODA office by March 25, 2003.
Notification: Scholarship recipients will be notified by April 15, 2003.
 Male  Female
City:__________________________________ State: WI Zip:___________________
Day phone:____________________________ Evening phone:________________________
Did you receive a scholarship in 2002? Yes No 2001? Yes No
What is your current employment status?
 Student  Part-time in AODA field  Full-time in AODA field
What is your annual income?
 Under $15,000  $15,000-$30,000  Over $30,000
Does your employer reimburse you for training expenses? Explain:__________________________________________________________________________________________
Length of work experience in AODA field:
 6 months-year  1-3 years  3-5 years  Over 5 years.
Please mail or Fax this application to the WAAODA office by March 25, 2003.
6441 Enterprise Lane-Suite 105, Madison, WI 53719 Fax: 608-276-3402.
Phone 800-787-9979. You will be notified by April 15.