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University Scholarship Summer Opportunity

Student Acceptance Form

*Red fields are required.

First Name: Last Name:
WesID: Class Year:

By checking this box, I confirm that I am accepting the University Scholarship Summer Opportunity award in the amount of   (please fill in the amount you were awarded).

Name of Sponsor:
Organization Name:
Organization Address: Line 1
Line 2
,   ,          
Sponsor Phone:
Sponsor E-mail Address:
Sponsor Fax:

Dates of employment:
From   to   .

I agree to notify the Career Resource Center immediately if I do not fulfill this employment contract or earn more than stated above and in my original proposal.  I also agree to contact the Career Resource Center if any other terms of this agreement change in any way.

Please check this box to certify you have read and agree with the above information.

This form must be returned to the CRC by Wednesday, April 16, 2008.

 		  
Career Resource Center 25 Lawn Avenue, Butterfield A Middletown CT 06459 860.685.2180 fax 860.685.2181 crc@wesleyan.edu