PLEASE COMPLETE AND SUBMIT THIS FORM BY AUGUST 30, 2013.
Questions regarding completion of this form may be directed to Marianne Poteet at firstname.lastname@example.org or (607) 431-4013.
2013 2014 2015 2016 2017
Primary E-Mail Address:
Alternate E-Mail Address:
Best Phone Number to Reach You:
Home Address, line 2:
Are you in the three-year degree program?
Please answer the following questions about yourself and your experience at Hartwick to the best of your ability. Please limit your responses to 100 words or less.
My Hartwick journey has been:
My scholarships/awards have allowed me to (please include benefits from ALL your named scholarships or awards, including J Term travel):
The biggest change in me since I began at Hartwick:
I would like the donor of my scholarship to know:
My postgraduate and occupational plans include:
My achievements and campus activities include:
I hereby give my permission for Hartwick College to use information from this profile in College publications in addition to the report to scholarship donors, to include, but not limited to, The Wick magazine and other outside correspondence: Yes No
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