Women Leaders in Action
Empowering Women for Success

Scholarship Application Form

To be considered for this scholarship, you must be a senior high school student residing in New Jersey, intending to pursue a degree in the healthcare field, liberal arts or Science technology Engineering Math (S.T.E.M.).

Complete the form below to participate for this scholarship!


The Application Period is Now Closed.

    Personal Details


    Mailing Address

    Current Study Status & Intentions

    You Intend to Study*


    Provide two referee names with full contact details. (One must be a school referee such as counselor, teacher or professor)

    Reference 1

    Reference 2

    Supporting Documents

    Please submit your Curriculum Vitae, essay, and the application all together via email. Your essay should be 300-500 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.

    By submitting this application, you are certifying that all information is correct and that you are the person completing this application. W. L. A. reserves the right to keep any information submitted.