Wolcott Foundation Application Form Your Full Name: Permanent Home Address: City, State, Zip: Phone Number: e-mail: Date of Birth: Birthplace: U.S. Citizen? Yes No If not a US Citizen since birth, when naturalized? List all colleges/universities you have attended (include dates, location, final GPA, and degree earned) List all graduate schools you have attended (include dates, location, final GPA, and degree earned) Which school will you attend at George Washington University? Total hours required for the Master's Degree that you are seeking? Are you enrolled now? Yes No If yes, after the Spring semester how many hours will you need to complete your Master's studies? (Maximum hours provided is 36, minimum is 18) Will you need a Relocation Assistance Loan? (Maximum loan amount is $1800.00. See Procedures page for details.) If so, amount: Name three reliable persons who will write references for you (list name, address, and occupation): Give your employment record and work experience (starting with your current employer if employed): Have you travelled outside of the Continental US? If yes, provide dates and purpose: In addition to English, I speak: At what level: I read: At what level: Have you ever been convicted of a criminal offense: Yes No If yes, give details: Do you now, or have you ever, used illicit drugs? Yes No If yes, explain: Under any circumstances, do you believe in the forceful overthrow of our government? Yes No If yes, explain: Do you believe in a Supreme Being? Yes No If yes, explain: Do you believe in our Constitutional Government? Yes No If yes, explain: Do you believe in the separation of church and state? Yes No If yes, explain: In 750 words or less, tell us why you wish to pursue graduate studies in the particular school you have chosen and why you wish to enter into government or international service. Explain what prompted your interest. List any advantages you anticipate from such service. In your response, please discuss your career goals. You may wish to include any activities of interest in which you have participated such as relevant work experience, volunteer work, political campaigns, leadership forums, youth groups, and etc. that may have influenced your decision to pursue this course of study. Letter of Recommendation Letter of Recommendation Letter of Recommendation Transcript Transcript Transcript GRE GMAT Your Recent Photo Any Additional File Any Additional File Any Additional File For information about this web site or for technical support, click here.

Wolcott Foundation Fellowships are awarded to U.S. citizens who are attending or applying to
the George Washington University School of Business, Trachtenberg School of Public Policy and Public Administration, or the Elliott School of International Affairs.
These awards are designed to encourage young scholars with outstanding academic, civic, and social credentials to pursue public service careers.
High Twelve International is an association of Master Masons.