Individual Funding Request Form

Individual Funding Request Form

Thank you for your interest in requesting funds from our foundation. Please complete all required fields. Please note that submission of an application does not guarantee funding. Please allow the Alexander Family Foundation 14 business days from the date of submission to review your request and render a funding decision via your preferred method of communication (you will also receive written notification of the funding decision).
Requesting Individual Contact Information
Legal Name

First NameLast Name
Parent(s) Name(s), if under 18
Parent Email Address, if under 18
example@example.com
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method
Funding Request Information
Funding Amount Requested
What type of educational funding are you requesting?
If you are requesting a scholarship, are you currently enrolled in an accredited educational institute?
If you are requesting educational advancement funds, are you currently enrolled in, or have you graduated from, an accredited educational institution?
Please describe how the requested funds will be used to further your educational and/or professional goals.
Requested Disbursement Date

MonthDayYear
Date
Payment Method (please note most funding will go directly to the source, not the scholar)
May the Alexander Family Foundation Publicly Acknowledge This Support?
Additional Comments
Certification

By submitting this application, I certify that the information provided is accurate, funds will be used for educational purposes only, and that you agree to provide additional documentation, if requested.
Signature (Parent signature, if under 18)
Date

MonthDayYear
Date
Should be Empty:

Individual Funding Request Form

Requesting Individual Contact Information

Funding Request Information

Certification