Student Scholarship Agreement & Information Form

Things to Know about Your Scholarship

Scholarship awards must be used the year immediately following when the recipient is selected. This does not allow for a ‘gap year.’
Scholarship awards are split between fall and winter/spring semesters by the college/university to provide financial assistance for the entire school year.
Checks are forwarded to college/university by September 1 each year.

Read the CommunityGiving Scholarship Agreement and complete the form below.
The deadline for submitting this form is June 15th.
If you have additional questions, call Sherri at (320) 257-9715.

SCHOLARSHIP AGREEMENT FOR ALL SCHOLARSHIPS ADMINISTERED BY COMMUNITYGIVING

I. Acceptance of Scholarship

The scholarship awarded to you through CommunityGiving has been authorized by the Foundation’s board of directors, upon the recommendation of the Scholarship Advisory Committee.

The purpose of the award is to help finance tuition, fees, books, and supplies required for study at a tax-exempt institution. Awards used for other than non-taxable expenses must be reported as income on your tax returns, and it is your responsibility to report any tax liability.

This Scholarship is subject to your acceptance of the terms described herein.

To accept the award and receive the funds authorized, read the terms and if you accept these terms, complete the information requested and check the “I accept” button at the end of this SCHOLARSHIP AGREEMENT.

II. Terms:

A. All scholarship awards are made in accordance with current and applicable laws and pursuant to the Internal Revenue Service Code and regulations as amended.

B. Prior to payment of the scholarship award, the recipient must be accepted and enrolled as a full-time student at an accredited post-secondary program.

C. The installment of the scholarship award will be paid to your college after receipt of this form.

D. Payments will be made to the Financial Aid Office of the educational institution, to be applied toward your educational expenses for tuition, fees, books, supplies, and equipment required for study at a tax-exempt institution.

E. The student must be enrolled as a full-time student.

F. Remaining scholarship dollars are forfeited if appropriate GPA is not maintained or if full-time course load is not maintained.

G. The scholarship is for the upcoming school year only and cannot be deferred.

H. The recipients photo, their answer to “Why was receiving this scholarship important to me”, as well as information about the college attending, may be shared with scholarship fund holders as well as used for promotional purposes.

This field is for validation purposes and should be left unchanged.

Do you accept the terms of this scholarship and the scholarship agreement?(Required)

Will you be sharing an image with us?

For promotional purposes, we would appreciate you sharing your Senior Photo or photo of you receiving the scholarship. Please email image to [email protected].

Yes

Can you share an image with us?

For promotional purposes, we would appreciate you sharing your Senior Photo or photo of you receiving the scholarship. By uploading an image, you give us permission to use the image for promotional purposes.

Max. file size: 2 GB.

Why was receiving this scholarship important to you?(Required)

Scholarship Recipient Name(Required)

First Last

Scholarship Recipient Address(Required)

Street Address Address Line 2 City State ZIP Code

Scholarship Recipient Phone Number(Required)

Scholarship Recipient Email Address(Required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone Number(Required)

Parent/Guardian Email Address(Required)

Scholarship Recipient College Student ID Number (Will be used to verify enrollment and ensure scholarship is applied to your student account)(Required)

Name of the Scholarship You Are Receiving(Required)

Amount Awarded from Scholarship You Are Receiving(Required)

Name of the College You Will Be Attending (No abbreviations, use full name example: College of St. Benedict, not CSB)(Required)

Major of Study(Required)

City and State of the College(Required)

College Financial Aid Office Phone Number(Required)

College Financial Aid Email Address(Required)

Do you give CommunityGiving permission to contact your College or University to verify your enrollment?(Required)

Please note that by saying ‘No’, you understand that this will delay payment until October 15th or later.

Student Scholarship Agreement & Information Form

SCHOLARSHIP AGREEMENT FOR ALL SCHOLARSHIPS ADMINISTERED BY COMMUNITYGIVING

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