WISLI Tuition Scholarship – Terms and Conditions WTS 2025 Acceptance/Decline Form Congratulations on your WISLI Tuition Scholarship! We hope you will join us this summer for WISLI 2025. Please fill out the information below, and email wisli@lpo.wisc.edu with any questions.Name(Required) First Last Email(Required) Award Acceptance(Required) I accept the WISLI Tuition Scholarship for summer 2025 I decline WISLI Tuition Scholarship for summer 2025 Why are you declining the 2024 WISLI Tuition Scholarship?The following information is only needed if you are accepting the award. If you are declining, then you can skip to the bottom.Are you a Wisconsin state resident for tuition purposes? Yes No Are you a Minnesota state resident for tuition purposes? Yes No Regardless of whether you are taking an online WISLI course, do you plan to be in Madison, WI during WISLI, June 16-August 8, 2025? Yes No Unsure Please indicate whether you have completed a FAFSA (Free Application for Federal Student Aid): I have submitted a 2024-2025 FAFSA. I have already submitted a 2025-2026 FAFSA. I intend to submit a 2025-2026 FAFSA before the WISLI program begins. Your answer does not affect your funding, only helps us determine your scholarship funding source.UW-Madison Student ID# (if available; if you don't yet have this, please still submit this form and we can look up your student ID later)Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date Address Valid Until(Required) Month Day Year Signature(Required) I accept the WISLI Tuition Scholarship offer and have read and understand the terms and conditions of the scholarship outlined below.I understand that by submitting this form, I am accepting the offer of a WISLI Tuition Tuition Scholarship for Summer 2025. I understand that the WISLI Tuition Scholarship will cover half of my tuition costs and will be applied directly to my tuition account. If I accept other scholarships, this may affect my WISLI funding. I also understand that it is expected that no other outside factors (e.g., job, other courses or school work, etc.) will conflict with my study at WISLI and that I must maintain my registration and commitment for the entire period, or I may be liable for repayment of this award. I also agree to work with WISLI Communications to reflect on my WISLI experience (e.g., through a video and/or written interview) and that this reflection may be used for marketing future programs.PhoneThis field is for validation purposes and should be left unchanged.