2023 Miss Spokane Competition Scholarship Request Form
Contestants/titleholder(s) have until 03/12/2024 (one calendar year from 2023 competition date) to request their scholarship on the official scholarship request form. Scholarships may be used to pay tuition or student loans. Contestants/titleholder(s) do not have to request entire scholarship amount at one time - scholarship can be separately requested. Scholarships are paid directly to the institution. A scholarship deferment may be requested to defer scholarship for one additional calendar year - this must also be submitted by 03/12/2024. Contestants/titleholder(s) may continue to defer scholarship, but must submit deferment request(s) within allotted timeframe. All submissions must be fully completed, must include all required attachments, and are subject to approval by the Miss Spokane Scholarship Organization (MSSO). The MSSO will respond to requests within 3 business days - if contestant/titleholder receives no response, the MSSO did not receive your request. Allow 10-15 days for the check to be issued after submitting request. For questions, please contact the MSSO at missspokaneorg@gmail.com. Scholarship and awards rules and regulations are published in the Standards of Conduct Contract that each contestant/titleholder signed prior to competing.
Name:
*
First Name
Last Name
Email:
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Student ID Number:
*
Date of Birth:
*
-
Month
-
Day
Year
Date
Type of Scholarship Request:
*
Tuition
Student Loan
Deferment
Scholarship Award You Are Requesting (you are not required to request all at once):
*
Miss Spokane $1,000 First Half - $75 Remaining (Noël Anderson)
Miss Spokane $1,000 Second Half (Noël Anderson)
1st Runner Up $1,000 (Julia Zimny)
2nd Runner Up $750 (Tayla Tollefson)
Overall High Interview $250 (Julia Zimny)
Overall High Talent $250 (Noël Anderson)
Non-Finalist High Interview $200 (Aly Welch)
Non-Finalist High Talent $200 (Noemi Turner)
Committee Award $300 (Noël Anderson)
Academic Excellence $300 (Noël Anderson)
Most Improved $200 (Noemi Turner)
S.T.E.M $250 (Noemi Turner)
Difference Maker $200 (Tayla Tollefson)
Non-Finalist $100 (Noemi Turner)
Total Scholarship Amount Requested Or Deferred At This Time:
*
TUITION REQUEST
The following is required if you selected "Tuition" above.
Tuition Statement: Tuition statement must show date stamp, student name, and current amount owed. (PDF, no screenshots)
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School/Institution Name:
School/Institution Mailing Address for Scholarship:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
STUDENT LOAN REQUEST
The following is required if you selected "Student Loan" above.
Current bill from institution: Bill must show date stamp, current amount owed, student name, loan/account number, and payment address. (PDF, no screenshots)
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Transcript showing the completion of the coursework: Transcript must show date stamp and student name. (PDF, no screenshots)
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Copy of the promissory note(s) showing you as the primary or secondary payer of the loan. (PDF, no screenshots)
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Loan Institution Name:
Institution Mailing Address for Scholarship:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SCHOLARSHIP DEFERMENT REQUEST
The following is required if you selected "Deferment" above.
Reason for 1-year deferment request:
Not currently enrolled in school
Do not currently owe amount for school/loan
Have not used all previously awarded scholarship
Other
AGREEMENT
I understand the scholarship rules and regulations and I agree to abide by them. To be eligible to receive scholarship or deferment, all applicable portions of this form must be fully filled out and all applicable supporting documents must be uploaded.
AGREEMENT SIGNATURE
*
Submit
Should be Empty: