WILL (Women's Initiative for Learning and Leadership) Application

NAME OF APPLICANT_______________________________________________     

SOCIAL SECURITY NUMBER _______________________

PERMANENT ADDRESS___________________________________________

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___________________________________________________________________     

TELEPHONE ______________________________________

CITIZENSHIP ______________________________________________________       

VISA TYPE (IF NOT U.S. CITIZEN) ___________________

CAMPUS ADDRESS  ______________________________________________________________________________________________________

________________________________________________________________________________________________________________________

High School activities and honors ______________________________________________________________________________________ 

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

College activities and honors  ____________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

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RECOMMENDATIONS
One letter of recommendation is optional. List the name(s) of the person submitting your recommendation, 
which must be sent with this application or under separate cover in a sealed, confidential envelope.



_____________________________________________________________________________________________________________



The information above is accurate.


____________________________________________________           ______________________
Student Signature                                              Date


RETURN APPLICATION TO:  WILL Program
                        331 Minne
			Winona State University
                        Winona, MN  55987

			507-457-5443