EmailMe Form - Scholarship Information Form

Name of Organization

If you chose 'Other' above, please specify:

Will you be offering your scholarship for the Class of 2025? *

Yes

No

Are there any changes to your scholarship this year? (application, process to obtain funds, eligibility requirements, etc.) *

Yes (please comment below)

No

N/A

If yes, please comment. If you would like to change your application, please provide an updated application by February 5, 2025.

Point of contact for your scholarship: *

Address for contact person: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone number for contact person : *

### - ### - ####

Email address for contact person

How would you like to receive your completed applications? *

Electronically to e-mail listed above

Paper copies to address listed above

Other (please specify below)

Please specify: