NOTE: A parent must sign this form if applicant is under the age of 18 years old.
By signing this form, I truthfully acknowledge that:
• The statements made on this Louisiana Legislative Women’s Caucus Foundation Women of Excellence Application are truthful to the best of my knowledge.
• The essay included with this application is my own work.
By signing this form, I understand and agree:
• The information included in this application will be reviewed by an independent scholarship awards’ selection committee and its selection of scholarship award recipients is final.
• The Women of Excellence Application, including but not limited to eligibility requirements and obligations, is subject to change at the discretion of the Foundation.
• The Louisiana Legislative Women’s Caucus Foundation may contact school officials to verify information included in the application.
• It is my responsibility to ensure all required documentation is submitted to the Foundation.
• If the Foundation finds any information included on the application to be false or inaccurate, it is sufficient cause for disqualification from the scholarship program.
• The Foundation reserves the sole right to discontinue any and /or all scholarships, categories or awards should an inadequate number of suitable candidates apply, an inadequate number of suitable candidates are nominated or lack of funding realized.
• The availability of scholarship funds is subject to change at the sole discretion of the Foundation.
By signing this form:
• I, the applicant, give the Louisiana Legislative Women’s Caucus Foundation, the right to (1) share any information provided on the application and (2) use my photograph and name for any program or purpose deemed by the Foundation, including all forms of media or other form of release.
• I hereby authorize access to, and release of, information to the Louisiana Legislative Women’s Caucus Foundation regarding my application, such as academic records necessary to verify my eligibility for scholarship consideration.
• If I am selected as a Louisiana Legislative Women’s Caucus Foundation Women of Excellence Award recipient, I will, upon the Foundation’s request, sign additional releases in form and substance acceptable to the Foundation.
• If I am selected to receive a Women of Excellence Award, I am aware that I must be present at the awards' ceremony and reception.
• If I am selected as a scholarship recipient, I must attend college/university in the Fall of 2019 or I will forfeit my scholarship.