Last name:

First name:

E-mail:

Permanent Address:

Permanent Phone:

School Address:

Current Phone:

Age:

Present School:

Major:

GPA:

Year Graduating:

Attach an essay (mo more than 500 words) describing a moment when journalism changed your life.

Describe briefly what you hope to get out of the AAJA national convention.

Describe your financial need. (A sentence or two on your monthly income, expenses).

Print out this application and submit it with your essay to:
AAJA Seattle Founders' Scholarship
c/o Lori Matsukawa
KING 5 News Anchor
333 Dexter Avenue N.
Seattle, WA 98109

Applications must be postmarked May 1, 2004.