2025 Scholarship Claim Form

2025 Scholarship Claim Form

*Scholarship checks for the 25-26 school year will not be mailed out until June 1, 2025.
First Name*
Last Name*
Name*

First NameLast Name
Permanent Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Scholarship Name*
Scholarship Amount*
I am enrolled as a full-time student at the following university/college/tech school listed below. (Please provide the exact address of the Financial Aid Office.)
University / College / Tech School*
College Student ID #*
Financial Aid Office Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload pictures or screenshots (.jpg, .png, .heic) of the following items:
1. Schedule of University Classes
2. Thank You Note you sent to donor who funded the scholarship
Cancelof
Should be Empty: