WALA Scholarship Application
First Name
Last Name
Street Address
City
State
Zip Code
Phone
Email Address
Alternative School Attended
School Address
City
State
Zip Code
School Phone Number
WALA School Number
This can be found on the WALA website under "school list"-must be a school member at the time of application
Local Newspaper Name
Local Newspaper Address
City
State
Zip Code
Post Secondary Institution Name
Clear selection
Post Secondary Institution Name
Post Secondary Institution Address
If known
Post Secondary Instution City
If known
State
Zip Code
Course/Majors you are interested in
Student Digital Signature
Please type your full name in the box below-By typing your name you are attesting that you are attending an alternative school in Washington State and will be graduating with the Class of 2016.
School Counselor /Administrator Name
Projected Graduation Date or GED completion date
MM
/
DD
/
YYYY
Remaining Credits required for graduation
Submit
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