APPLICATION FORM, PART I

Name:_______________________________________________________Age:_____Sex: M___F___

Address:___________________________________________________________________________

City/State/Zip:______________________________________________________________________

Phone:__________________________Fax:_____________________Email:____________________

Current School:____________________________________________Graduation Date:__________

Where would you use the scholarship?__________________________________________________

(FOR SECTIONS BELOW, ATTACH A SEPARATE SHEET IF YOU PREFER.)

RELEVANT EXPERIENCE – List any communications experience or jobs you have had:

Organization/Activity                                         Dates                                Supervisor                                    Phone

________________________________________________________________________________________________________________________________________________________________________

LEADERSHIP ACTIVITIES:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

OTHER JOBS:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

HONORS/AWARDS:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

VERIFICATION: I affirm that the information included with my application is true and accurate

in all respects, and that I intend to pursue a career in communications. I also understand that any awarded funds will be sent directly to my student account at the accredited institution listed on my application upon verification of my full-time status.

Signature:___________________________________________Date:___________________________

APPLICATION FORM, PART II

• Essay -- Write an essay of between 500-1,000 words on the following topic: "How do the First Amendment’s guarantees of freedom of speech and of the press apply to today’s student journalists? ”

• Financial Need – List your approximate college expenses for the school year, including tuition, books, room and board. List sources of funds, including contributions from your family, other scholarships, job income, loans or gifts.

• References – Have two letters of reference MAILED DIRECTLY to the Scholarship Committee by your references. The letters should be from people who know you, your work and your character. Do not include any relatives.

• Work Samples – Include no more than three samples of your best work related to communications. These may be articles, editorials, columns, essays, cartoons, photographs, videotapes, audiotapes, websites, or other communications media.

• School Transcript – Have your latest OFFICIAL high-school or college grade transcript MAILED DIRECTLY to the Scholarship Committee by the school.

All application materials, letters of reference and transcripts must be postmarked by April 15, 2007. Materials postmarked after that date will not be considered. Questions? Call 206-262-9793.

Please send all application materials to:

                                          Scholarship Committee

                                          Washington News Council

                                          P.O. Box 3672

                                          Seattle, WA 98124-3672

REMINDER: (POSTMARK) DEADLINE IS APRIL 15, 2007.