Established in memory of Mark R. Wilder '81, a graduate of the Park School.
Please clearly print or type
Applicant name:____________________________________________________________
ID#:______________________________________________________________________
Permanent address:__________________________________________________________
Current year in school:_______________________ Cumulative GPA:_________________
Major:_______________________________ Minor:_______________________________
Concentration:__________________________ Advisor:____________________________
I certify that I have completed this application personally and that the information I have provided is complete and truthful.
_______________________________________________ _______________
Signature of Applicant Date
Attach your resume. Be sure to include your honors, achievements, professional experience, and jobs.
