Alumni & Friends Scholarship Application

As an alumnus of Western Iowa Tech Community College, you have the opportunity to nominate someone you know for a $500 "Family & Friends" Alumni Scholarship! Simply fill out the information of a new student you think would benefit from this scholarship and we will do the rest!
Deadline July 15.

Items with an * are required.

Your Information

* First Name

Middle Initial

* Last Name

* Address

* City

* State or Country

* Zip

Phone

* Date of Birth (for internal use only)

* E-mail

* Year Graduated

* Program of Study

Nominee's Information

* First Name

Middle Initial

* Last Name

Address

City

State or Country

Zip

Phone (for internal contact purposes only)

* E-mail (for internal contact purposes only)

Program of Study (if known)

* How do you know the nominee and how can they benefit from this scholarship?