SCHOLARSHIP FUNDS REQUEST
Student
*
Student's Email
*
REMITTANCE OF SCHOLARSHIP CHECK
Checks are made payable to the student but can be sent to the school or another person
Name of school or person to receive check
*
Address check should be sent to
*
Street Address
Street Address Line 2
City
State
Zip Code
VERIFICATION OF ENROLLMENT
Provide proof of registration from the Registrar's Office from your college or university.
Upload verification
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Date
*
/
Month
/
Day
Year
Note
: Scholarship funds may be claimed beginning August 1, 2022 and no later than May 14, 2023.
Submit
Should be Empty: