Offsite Scholarship Advisory Committee Form

COMPLETE THE FORM BELOW FOR EACH STUDENT RECEIVING A SCHOLARSHIP.

Please submit by April 20th.

Students selected for awards from the named scholarship fund were chosen based on criteria contained in the scholarship fund. It is attested that the selection process was fair and equitable and no voting member of the Advisory Committee had or has a familial, working, or other significant relationship to any recipients for these awards.

For additional questions or to request an extension, please contact Sherri at (320) 257-9715 or by email at [email protected].

School Name(Required)

Name of Person Completing this Form(Required)

Name of Scholarship(Required)

Scholarship Amount Awarded(Required)

Scholarship Recipient Name(Required)

First Last

Scholarship Recipient Email Address(Required)

Scholarship Recipient Phone Number(Required)

Parent/Guardian of Scholarship Recipient Name(Required)

First Last

Parent/Guardian of Scholarship Recipient Phone Number(Required)

Parent/Guardian of Scholarship Recipient Email Address(Required)

Scholarship Recipient Application (Please upload PDF)(Required)

Max. file size: 2 GB.

Names of Scholarship Advisory Committee

(Only need to complete once per year, please list)

Date of School Award Night (Optional)

Offsite Scholarship Advisory Committee Form

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