Scholarship Recipient Data Form



Name(Required)

Financial Aid Office

Because we are under IRS Code 501(c)(3) and it dictates that our scholarship may only be used for tuition, books and fees ALL schools must sign an agreement that they will adhere to this stipulation in dispensing your scholarship. Contact your school and ask to whom we should email the scholarship agreement AND where to send the check after the signed agreement is returned to us.
Address(Required)
Max. file size: 50 MB.
MM slash DD slash YYYY