Beta Theta Pi - Zeta Zeta Chapter - University of Wisconsin Oshkosh

Beta Theta Pi Scholarship Application

Personal Information Name: (First and Last) Date of Birth: ( mm/dd/yyyy )

Hometown Contact Information Street: City: State: Zip Code: Phone: (optional)

UW Oshkosh Campus Contact Information Campus Address: (i.e. N. Scott 232 ). Campus Phone: Campus E-mail: ( i.e. parkej60@uwosh.edu)

Academic Information High School Name: Class Rank: out of Cummulative GPA: Year in College: Cummulative College GPA:

Honors/Achievments/Awards Please list any awards, achievments or honors you have recieved:

Community Service/Extracurricular Activities: Please list any Philantropic events you participated in or Extracurricular activites:

Future Plans/Goals: Please list any career paths, goals, or future plans: