The Promise Pledge Accept/Defer

The Promise Pledge Accept/Defer

Scholarship Acceptance Form: Class of '25
Name*

First NameLast Name
Are you a 2025 Buchanan Promise Graduate?*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Will you be accepting (using) or deferring your Promise?*

I accept my scholarship for the 2025-26 academic year & understand this scholarship will be used for tuition, books, fees, and other educational expenses.I am deferring my scholarship award & understand that I will need to contact the Promise Program Officer when I am ready to utilize my funds.
What school will you be attending?
Student ID Number
You are required to upload one of the following documents before your acceptance application can begin to be processed. Please make sure your name, school name and student identification number is on the document.
- Fall (or upcoming semester) School Verification
  May include any of the following - must include student ID:
  - Fall (upcoming) class schedule
  - Enrollment letter
  - and/or Tuition statement
Verification

Cancelof
I, First Name* Last Name* hereby authorize my school of choice as designated above, through its agents and employees, to release any financial aid, demographic or academic information to The Buchanan Promise to facilitate their analysis of my scholarship eligibility and the educational and economic impact of this scholarship on the Buchanan Community Schools and the Buchanan community.

This release is authorized for the duration of the time that I receive scholarship funds. In order to rescind this Authorization, I acknowledge that I must submit written notification of rescission to the Office of the Registrar of my school of choice. This rescission would result in the termination of the scholarship.

I also give permission to The Buchanan Promise to use information regarding my scholarship in promotion of The Buchanan Promise.

By submitting this form, I am indicating that I have read this Authorization to Release Educational Records and that I authorize the release of records as described above. By submitting, I also indicate that I have read and agree to adhere to the scholarship conditions as set forth in The Promise Pledge: Scholarship Acceptance form that I received upon graduation from BCS.

Signature*
Should be Empty: