2005  IOWA BROADCASTERS ASSOCIATION SCHOLARSHIP
 APPLICATION FORM
(Please TYPE all responses on this form, or reproduce form on computer)
** Incomplete applications will  NOT be considered **

Name:______________________________Date of Birth:__________Sex:______Application Date:___________

Home Mailing Address:_______________________________________________________________________ 

Summer Mailing Address: _____________________________________________________________________

Home Telephone: (       )_________________ Parents' Names:__________________________________________

Father's Occupation: _____________________________ Mother's:_____________________________________

Name/Location of  Iowa High School:_____________________________________________________________

Current GPA:____________________Class Rank:_______________out of a class of: _____________________

Iowa High School Graduation Date:________________ACT &/or SAT score:_____________________________

Honors &/or Awards:_________________________________________________________________________
 
Extra-Curricular Activities (clubs, sports etc):_______________________________________________________

Community Service &/or activities (church, non-profits, etc):__________________________________________

___________________________________________________________________________________________

Work Experience &/or Internships (also presently working)?___________________________________________

___________________________________________________________________________________________

Iowa College/University attending this fall:_________________________________________________________

Enrolled this upcoming fall as:   Fresh. ___  Soph. ___  Jr. ___  Sr.___  Declared Major:_____________________
Long-term Career Goal:_________________________________________________________________________

To what extent will you contribute financially?______________________________________________________
___________________________________________________________________________________________  

Note to Applicants:  Submit this typewritten application form with ALL attachments listed below:
1. 1-3 page typewritten statement "Why I'm Interested in a Career in Broadcasting"- Please include: (a) an analysis of your skills/interests and any work-related experience you may have which would contribute to a career in broadcasting;  (b) your thoughts about the need for a college/university education to help you reach your career goals; and (c) the importance of receiving an IBA Scholarship. 
2. Current Academic Transcript (may be a photocopied)
3. Two Letters of Recommendation: 1-from an academic reference and 1-from a non-academic reference.
4. A copy of completed Free Application of Federal Student Aid (FAFSA) Form.
Applications must be postmarked by April 1--   mail to:   Iowa Broadcasters Association
                                                                                                  PO Box 71186
                                                                                           Des Moines, IA  50325  
Nov-04