2024 Miss Spokane Competition Scholarship Request Form
Contestants have until 03/10/2025 (one calendar year from 2024 competition date) to request their scholarship. All scholarship requests must be done on this form. If you do not receive an automatically generated email from JotForms confirming your submission, the Miss Spokane Scholarship Organization did not receive your request. The Miss Spokane Scholarship Organization will respond to requests within 5 business days. Allow up to 15 days for the check to be mailed after submitting your request, please plan accordingly. Scholarships may be used to pay tuition or student loans, except for the two cash awards - those will be mailed directly to you. Scholarships are mailed directly to the institution. You do not have to request the entire scholarship amount at one time (for example: you won $500 in scholarship, you may request $300 and defer the remaining $200). A scholarship deferment may be requested to defer scholarship for one additional calendar year - this must also be submitted by 03/10/2025. You may continue to defer scholarship, but you must submit deferment request(s) within the allotted timeframe. All submissions must be fully completed, must include all required attachments, and are subject to approval by the Miss Spokane Scholarship Organization. For questions, please contact the Miss Spokane Scholarship Organization at missspokaneorg@gmail.com.
Name:
*
First Name
Last Name
Email:
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
TYPE OF REQUEST
Select the Type of Scholarship Payment You Would Like:
*
Tuition
Student Loan
Deferment
Cash Award
Total $ 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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Student ID Number:
Date of Birth:
-
Month
-
Day
Year
Date
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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Date of Birth:
-
Month
-
Day
Year
Date
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
CASH AWARD REQUEST
The following is required if you selected "Cash Award" above.
Mailing Address for Check (your personal mailing address):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
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