Wyoming Council of the Blind
Mary Zoe Allee Scholarship 1998

The Wyoming Council of the Blind will award scholarships to blind and visually imnpaired students from the state of Wyoming in memory of thos members of its organization, now deceased, whose dedication and commitment have enhances the lives of all they have touched: Mary Zoe Allee, Chairman of the North East Wyoming Chapter of the Wyoming Council of the Blind and Board of Directors of the Wyoming Council of the Blind; and Mable Fowler, Board of Directors of the Wyoming Council of the Blind

To qualify for these scholarships, the applicant must:
1. Be a legal resident of the state of Wyoming.
2. Be legally blind or visually impaired.
3. Be enrolled in an academic or vocational/technical training at the post-graduate level. This includes:
A. Entering freshmen in academic programs.
B. Undergraduates (sophomores, juniors or seniors) in academic programs.
C. Graduate students or students pursuing an associate degree from a community college
One scholarship in the amount of $1,000 will be presented at the annual 2007 state convention. Scholarship winners are required to be present at the convention.

The postmark deadline for scholarships this year is May 1st, 2008 with the
decision on the recipient to be made no later than June 9th.  The
scholarships will be awarded at the 2008 state convention in Casper on
June 14th. The committee will review applications and make the  decision no later than June 9th.

Completed applications must be typewritten. Handwritten applications will not be accepted. Applications submitted in any format other than print will not be considered.

Scholarship Application

I. Personal Data
 Name
 Address
 Phone (Day)                                                (Evening)
Social Security Number:
Male (  )          Female (  )
Date of birth

II. Visual Status
1. When did you being having problems with your vision?

2. Cause of visual impairment:

3. Primary method you use for mobility:
A. Cane (  )
B. Guide dog (  )
C. Sighted guide (  )
4. Primary method you use for reading:
A. Large print (  )
B. Regular print (  )
C. Live reader (  )
D. Braille (  )
E. Recordings (  )
5. Visual acuity: right eye
                  left eye
        Visual field: right eye
                                       Left eye

III. Educational background
A. School in which presently enrolled:
City     State
B. Cumulative grade point average based on 4.0 scale:
C. Major:
Full-time student (  )               Part-time student (  )
Degree presently seeking (B.S., MA, etc.)
Date degree expected:
D. List any other secondary or post-secondary schools you have attended:
1. Name of school
2. Dates attended from month/year:
                                    to month/year:
3. Cumulative grade point average based on 4.0 scale:
4. Major:
Degree or cetificate received (A.A., B.A., etc.)
E. School you plan to attend in the fall (if different from question above.)

IV. Test record information
A. ACT
1. Date tested
2. Cumulative score
B. SAT
1.  Date tested
2. Cumulative score

V. Work experience
 List any full- or part-time work experience. Indicate whether experience was from summer employment or during the school year.
VI. Extracurricular activities
 List any major outside activities (school, religious, community, sports, organizations for the blind, etc.) Include extent to which you have played a leadership role.

Are you a member of the Wyoming Council of the Blind?

Documents which must be submitted
 along with this application include:

1. Autobiographical sketch: No more than two typewritten pages containing information about you. Tell us about your goals, strengths, weaknesses, hobbies, honors, achievements, etc. Be sure to list the field of study you have chosen, and the reason why you have chosen it.
2. One letter of recommendation from a current or recent instructor.
3. Certified transcripts from the school you are presently attending or most recently attended. Entering freshmen and sophomores, please include high school transcripts; graduate students, please include undergraduate transcripts.
4. Proof of acceptance from a post-secondary or post-graduate school. Entering and transferring students must submit a notice or letter from an Admissions Office stating that you have been accepted or are under consideration for admission. Students continuing in the same school attended during the previous year do not need this document.
5. Certification of visual status by an ophthalmologist, optometrist or physician.