Scholarship Request Form
Use this form to request your scholarship. All local scholarship monies awarded must be used before requesting your state scholarship. Please understand that processing will take a minimum of 30 days once all the correct information is received.
Title:
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Titleholder Name:
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First Name
Last Name
Titleholder email:
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Titleholder Phone Number:
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Type of Scholarship Requesting:
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Local Pageant Scholarship
State Pageant Scholarship
Local Director
First Name
Last Name
Local Director Email
Local Director Phone Number
Date of Competition:
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Month
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Day
Year
Date Picker Icon
Name of Competition:
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Awarded for:
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Amount Awarded:
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Requesting for:
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1.) Tuition/Room and Board
2.) Student Loans
3.) Reimburse for current educational expenses
1.) Part or all of your scholarship may be applied towards tuition/room and board. Upload the following documents:
Amount Requested:
For tuition requests please upload a Copy of Current Invoice, with a balance and less than 30 days old, with school ID and remittance address
For room & board requests please upload require a tuition statement reflecting full-time status of 12 credit hours
2.) Part or all of your scholarship may be applied towards student loans.
Amount Requested:
Please upload a current bill and/or bills from the lending institution. include loan #, student's name & payment address
Please upload a copy of the promissory note(s) which reflects you are the primary payer of the loan.
Please upload the official transcripts which show completion of coursework
3.) Please reimburse me for the current educational expenses I have paid in this fiscal year. I understand that one-time computer reimbursement may not exceed $2,000.00 (excludes student loans.)
Amount Requested:
Please upload a copy of bill/invoice.
Please upload the original receipts: if paid by other than cash, a credit card statement or copy of cancelled check (front & back) must accompany the receipt
Please upload a class schedule and syllabus reflecting educational expenses purchased
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