ISA’s WATER AND WASTE-WATER INDUSTRIES DIVISION (WWID)

SCHOLARSHIP AWARD APPLICATION FORM

College Student or WWID Student Member Name

_________________________________________

Address _________________________________________

Home Phone: _________________________________________

Student E-mail: _________________________________________

College Name: _________________________________________

College Address:_________________________________________

College Phone: _________________________________________

Parent Name: _________________________________________

Parent Address: _________________________________________

_________________________________________

Parent Phone: _________________________________________

Parent E-mail: _________________________________________

ISA Membership Number ________________________________

(Parent or Student)

Parent information above may be omitted if the applicant is an ISA WWID Student

member.

ISA’s WATER AND WASTE-WATER INDUSTRIES DIVISION (WWID) 2010

SCHOLARSHIP AWARD REQUIREMENTS

The ISA’s WWID plans to award a one-thousand dollar ($1000.00) scholarship to a

qualifying candidate. The individual scholarship will be selected by lottery or chance

selection at the WWID meeting held at the 2010 Spring Leaders Meeting (SLM). All

eligible candidates and their application forms will be reviewed by the Scholarship

Chairman before the drawing at the 2010 SLM and meet the following requirements.

1. Applicant must have a parent who is an ISA WWID active member, or the

applicant must be an ISA WWID Student member. The WWID member must be

in good standing with ISA dues paid to date.

2. The candidate must be enrolled as a full-time student in a Spring semester at a

two or four year college or university, and he or she must have already

completed one semester as a full-time student.

3. To be considered for the ISA WWID Scholarship Award, the application form

must be filled out completely and mailed to:

Henry ( Hank) R. Hegner,

ISA WWID Scholarship Chairman

812 Lakemount Drive

Moneta, VA 24121-5776

4. All application forms must be received by the WWID Scholarship Chair no later

than February 10, 2010.