THE STEPHANIE BEAVERS-DAVIS  SCHOLARSHIP

Two awards of $1,000 and two of $500 will be made at Pennsylvania Women Work’s Leadership Day in Harrisburg, Pa. 
(Assistance with travel arrangements will be available)


Funds may be used for tuition and school related fees.

Please complete the following form and return by March 31, 2008 along with:  

        * Your most recent income tax information

* Three references/support letters – one academic, one personal and a referral   
   letter from your local New Choices Project Director.
(If you were not a New Choices graduate you may still apply by furnishing an additional personal reference)

An official copy of your school transcript 

TO:		PENNSYLVANIA WOMEN WORK!
		STEPHANIE BEAVERS SCHOLARSHIP SELECTION
		Chamber of Commerce Building
      411 Seventh Avenue - Suite 925
      Pittsburgh, PA 15219

APPLICATION FORM FOR THE
STEPHANIE BEAVERS SCHOLARSHIP

Name:		___________________________________________________

Address:	___________________________________________________

City:	__________________________ State _________ Zip code_________

Phone: __________________________Fax____________________________

Email Address:___________________________________________________

Names of School/College/University: _________________________________

Address: ________________________________________________________

City: _____________________________ State ________ Zip Code _________

Major Area of Study:_______________________________________________

Minor Area (if any): _______________________________________________

Semesters completed:  _____________________ GPA ___________________

Net Adjusted Gross Income for 2007: _________________________________

Number of Dependents: ____________________________________________

PLEASE ATTACH A ONE PAGE ESSAY INDICATING YOUR CAREER GOALS AND WHY THIS SCHOLARSHIP WOULD ASSIST YOU IN REACHING THOSE GOALS.

The above information is true and accurate.  By completing this form with all the necessary attachments I am applying for the Stephanie Beavers Scholarship.  Should I be selected, I will allow Pennsylvania Women Work! to use any information furnished in a press release or publications and will attend the PA Women Work! Leadership Day in Harrisburg, PA to receive my award.


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         Signature                                                                              Date