2026 Altrusa Scholarship Application Please enable JavaScript in your browser to complete this form.Personal InformationName *FirstLastAddress *Address Line 1Address Line 2CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *EmailEducation and WorkLast year of school? *0123456789101112HS Diploma/GEDUniversityDo you have a job? *Yes, full-timeYes, part-timeNo, but I want a jobNo, and I do NOT want a jobWhat is your job? *Hours/Week *Hourly Salary *Do you have a second job? *YesNoWhat is your 2nd job? *Hours/Week *Hourly Salary *Do you have a third job? *YesNoWhat is your 3rd job? *Hours/Week *Hourly Salary *GoalsAre you studying for a degree or certificate at Madison College, or another college or university NOW? *YesNoWill you study for a degree or certificate at Madison College, or another college or university THIS YEAR? *YesNoWhat program and where? *When will you start? *How will a scholarship help you? You can check more than one.TuitionChildcareTransportationBooks/Tools/MaterialsMissed WorkEssayHave you already submitted your essay for the student writing book? *YesNoThanks! You don't need to re-submit. Please submit your application.We want to know why you want a scholarship and how a scholarship can help you. Write about the following question(s). You can choose one or two or write about all five! 1- What is your dream? Why? 2- How do you work toward your dream? or What progress have you made toward your goal? 3- Many dreams are not easy. What makes it hard to reach your dream? 4- What (or who) helps you keep working on your dream? 5- Does your class at Literacy Network help you with your dream? How? *PermissionIf you get an Altrusa scholarship, we will ask you to share your writing and photo. We may ask you to read your writing to teach the community about our programs and the positive things students do. Can we share your writing or photo? Are you interested in reading your writing at an event? *Yes, you can share my writing and photoYes, you can share my writing but NOT my photoYes, I am interested in reading at an eventWhat name should we publish with your writing? *The name I typed aboveMy first name only‘Anonymous’OtherType the name you want us to publish with your writing here: *NameSubmit Application!
