Scholarship Application - Impact100 Greater Wausau

2023-2024 Membership Scholarship Application

We are pleased to announce that we have several scholarships available!

Please indicate the scholarship amount for which you are applying. Scholarship recipients are asked to donate $100 toward their membership. Increments include full ($1,000), half ($500) and quarter ($250). The deadline to apply is December 1st, and we will notify recipients by December 15th.

Recipients must complete the Membership Application form and make their financial contribution by December 31.

Name
First Last
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Amount of Scholarship Requested:
In the space provided, please tell us about yourself.
What unique attributes do you have to offer Impact100 Greater Wausau?
In the space provided, please tell us why you want to join Impact100 Greater Wausau?
We require scholarship recipients to serve on a committee. On which committee would you be most interested in serving?*
If selected, how will you make your $100 Donation Payment?
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