Create a Scholarship Interest Form
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
This scholarship would be: (choose all that apply)
*
in memory of a loved one.
in honor of someone living.
to support a student going into a particular field.
to support a student with a particular background or need.
to support a student that meets a certain academic standard.
Other
I would plan to make this an annual scholarship.
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Yes, I would plan to give annually to the scholarship fund.
Yes, I would plan to fund the scholarship annually through an endowment.
No, this would be a one-time scholarship.
Unsure
Give a brief explanation as to why you want to create this scholarship.
*
Submit
Should be Empty: