I hereby authorize the Foundation’s Board of Trustees or staff of The Tim DeWitt HARVEST Education Foundation to inquire and verify any information contained on this application form. The Foundation shall not be liable for any damages which may result from such inquiry or verification. As part of this authorization, I hereby authorize the individuals listed herein to release to the Foundation information as to my character,
ability and performance. I understand that making any misleading or untruthful statements on this application may result in my disqualification if I receive a scholarship or grant. If accepted for financial aid, I understand that this application will become a permanent part of my record.