Congratulations again on being selected as a scholarship winner
!
Scholarship Release Form
Student Name (First and Last)
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Email
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What best describes your status for the Fall 2022 school year?
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High School Sophmore
High School Junior
High School Senior
Please attach a recent photograph of yourself (taken within the last 6 months); a digital picture in a .png or .jpg format is preferred.
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Max. file size: 32 MB.
Please attach a copy of your most recent report card or grade transcript.
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Max. file size: 32 MB.
I agree to
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Contact Unigo at unigoteam@educationdynamics.com once I have been admitted into a college or vocational school program in order to process my award.
Consent
Consent
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By clicking this box, you are granting the Partner (as defined in the scholarship notification rules) permission to announce you as one of the winners of the scholarship program, as well as permission to use your name, image, and excerpts of your application.
I grant permission to the Partner (as defined in the scholarship notification rules), EducationDynamics, LLC, and its related companies, as well as its employees, officers, directors, and agents, to use and publish my name, photograph, and excerpts from my scholarship application answers in connection with publicity and promotion of any Scholarship Programs, services, and websites, or any other promotion, contest or sweepstakes sponsored by the Partner, EducationDynamics, LLC, and its related companies. This includes potential publication of my name, images or likeness or application excerpts, or features about myself, in any worldwide media, including: (1) brochures; (2) on websites; (3) on social media (4) press releases; or (5) on other promotional and advertising materials. Whether to include my information in any publication, publicity or feature is at the sole discretion of the Partner, EducationDynamics, LLC, and its related companies, and I agree to hold the Partner, EducationDynamics, LLC, and its related companies harmless for any damages relating hereto.
Parent consent
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Parent or legal guardian agrees to the following statement: I consent to this Scholarship Release Form.
Parent/Guardian Name
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First
Last
Parent/Guardian work location
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Parent/Guardian email
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Parent/Guardian Phone
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Phone
This field is for validation purposes and should be left unchanged.
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Dynamics
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