Miss PA Scholarship Foundation Online Scholarship Application Form
Please complete this form in its entirety. Be sure to upload all pertinent supporting documents as described below.
Candidate Name/Applicant
First Name
Last Name
MISS or TEEN TITLE held at time of award:
Local Title
Delegate or Applicant's Cellular Phone Number: Please enter a valid phone number. Format: (000) 000-0000.
Please enter a valid phone number.
Format: (000) 000-0000.
Delegate/Applicant's Email: example@example.com
Email
Enter Student's ID #:
Name of Academic Institution: Must be enrolled full time.
Name/Address of University Information (For Remittance ): Physical Address of Academic Institution:
Enter the Email for the for the Academic Institution (i.e.:Cashier, Financial Affairs Office or Admissions):
Estimated Year of Graduation:
Scholarship Award was awarded at (i.e.: Miss Pennsylvania 2026, Miss Pennsylvania's Teen 2026):
Type of Scholarship Award: Please list all names of the award(s) and dollar amount(s)awarded: example: fitness award prelim $1000
Total Amount Scholarships Requested
Name of Local Director
Email of Local Director
Other:
Upload Delegate Letter requesting Specific Award-You must name the type of award, the year and the total amount of the award your requesting. Awards are given for TUITION ONLY. You must be currently enrolled in school at the time of this application as a full time student. If you are requesting only a portion of funds, or have requested funds previously, please include this information in your letter along with complete contact information.
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Upload State Director Letter Confirming Local Awards are Exhausted. Must include the amount of State Awards that were both awarded, andclaimed, and date claimed. Must also be SIGNED by the Local Director.
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Upload Course Statement/Schedule (outlining classes for upcoming Semester)
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Upload College/University Statement or Invoice (must include amount owed and have a visible reference to the Semester and courses also submitted).
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I, and if applicable, my parent or legal guardian, acknowledge that I/we havereceived, read, and understand the Miss PA Scholarship Foundation, Inc.(MPSF) Scholarship Policy, including all procedures governing the administration, use, and disbursement of scholarship awards at the state level.I/we agree to comply with all MPSF requirements, including the following: All scholarship funds are paid directly to an accredited educational institution and not to the recipient. Any unused scholarship funds must be returned to MPSF, Inc, and will not be issued to the student. Recipients must maintain full-time enrollment at an accredited college or university. By signing below, I/we acknowledge and agree to these terms and conditions
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