John Castek Sr. Memorial Scholarship

Presented as a memorial to one who devoted his life teaching and working with young people. The grant is renewable for all four years of the recipient’s undergraduate program, provided all work is done at the University of Wisconsin-La Crosse and that the recipient meets the institution’s requirements for advancement through the sophomore, junior and senior years and recipient remains in the teachers education program. Selection will be made by the Faculty Senate Scholarship & Awards Committee.

Eligibility: All of the requirements of the application form must be met for any candidate to be considered.

1. Applicant must intend to seek a career in teaching.
2. Applicant must rank in the top 25% of his/her high school graduating class.
3. Applicant must have a composite score of 24 or higher on the ACT.
4. Applicant must submit one letter of recommendation from a high school teacher who should return it directly to the UW-L Foundation Office.
5. Applicant must enroll full time at UW-La Crosse for all years of this award.
6. Applicant must submit a brief statement (no more than 100 words) of career goals, e.g., what he/she hopes to accomplish in life through their teaching career.


Name:
Home Address:
City:
State:
Zip:
Home Phone#:
Gender:
SSN or ID #:
High School:
Have you made application for admission to UW-L? Yes
No
Intended College Major:
Activities in which you have participated while in high school, including length of participation and offices held:


Identify honors, awards, scholarships, and other recognition you have received while in high school:



Briefly describe your career goals and what you hope to accomplish in life through a teaching career (100 words maximum).

The above information is correct and complete to the best of my knowledge. I understand, agree, and consent to the use by the selection committee of the information contained in and submitted with this application. I am aware that the Letters of Recommendation may be verified. I understand any award made is contingent upon my enrollment at UW-L as a full time student at the time the award is paid. I do meet all the criteria for the scholarship for which I am applying. Awards from this application are being made for the 2003-04 academic year and renewable up to three years.

Signature

_____________________________
Date:

_____________________________


GUIDANCE DIRECTOR: Please return two copies of the completed application and student's high school transcript including ACT results to:
UW-L Foundation
c/o Scholarship Coordinator
615 East Avenue N
La Crosse, WI 54601
Number of Students in Class:
Applicant's Rank in Class:
Current GPA:
GPA Using which scale:
ACT composite score of applicant


Signature of Guidance Director:



_____________________________
Date:

_____________________________
Phone #:


Application deadline: March 1
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