Scholarship Renewal Questionnaire

Scholarship Renewal Questionnaire

Relax, this is relatively painless (said the spider to the fly).
Your Full Name*

First NameLast Name
Your Non-School Email*
example@example.com
Your Cell Phone Number*
Please enter a valid phone number.
Social media handle you will be posting to during NH Gives:
Your Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year you received your first scholarship*
School you are attending*
Student Account # or ID (account to which payment should be applied)
Payee and address at your school where FOM should send scholarship check to:*

Make Check Payable to (checks are NOT sent to you. They are sent directly to your school.)

Street Address

CityState / Province

Postal / Zip Code
Major or Area of Focus*
Expected graduation month and year.
Upload your latest academic record. Make sure your GPA is included. Minimum 2.75 is required for FOM scholars. *

Cancelof
Upload Video or Photo: Give us a social-media-worthy plea for donations that we can post along with your update story during NH Gives. *

Cancelof
Make sure your video is no longer than 20 seconds or your photo is less than 5MB.
Make sure you own the right to use all music and/or images on the video or photo.
Make sure your video or photo contains appropriate language, images, or sounds.

Have FUN!

Be creative!

Use good judgement!

If we cannot use your submission, we'll ask for another.
I give permission to Friends of Mascoma Foundation to use my photo, video, imagery, likeness, voice, and any included sounds on media I submit for fundraising purposes on their website, social media (including but not limited to Meta - formerly known as Facebook - and Instagram), email, and NHGives Fundraising Page.

Yes, I doNo, I don't
Anything else you want us to know? Give yourself a shout out!
Should be Empty: