SCHOLARSHIP APPLICATION FORM 

PLEASE PRINT OR TYPE. 

Name Mr.( ), Ms. ( ) _________________________________________________

Current Address_____________________________________________________ 

____________________________________Current Phone #_________________

      Permanent Address___________________________________________________

      _________________________________Permanent Phone# __________________

     Education:

     High School, City, State________________________________________________ 

     College ______________________________________Years Attended___________ 

     Expected Graduation Date ________Student ID _____________  (Needed to disburse funds) 

     Any other schools attended _____________________________________________ 

     __________________________________________________________________

     Certification:

     I ________________________________(Print name), do hereby certify that the above 

     information is complete and accurate and I further certify that the images accompanying 

     this application were captured by me and any retouching was done by me.

     Signature: ________________________________________Date:______________

Please send this application and all supporting material (Transcript, letters and images) 

in a single package to: WPHS Scholarship Committee

P. O. Box 14616,  Tucson, AZ  85732-4616.   Questions call (520) 529-5072. 

Incomplete submissions will not be considered and all items submitted become the property of the WPHS.