Congratulations again on being selected as a scholarship winner
!
"
*
" indicates required fields
What scholarship were you selected for?
*
Scholarship Release Form
Hidden
Student Name (First and Last):
Student Name
*
First
Last
Email:
*
Phone
*
Birth Date
*
MM slash DD slash YYYY
Gender at Birth
*
Female
Male
What school year are you in?
*
Rising High School Sophomore
Rising High School Junior
Rising High School Senior
High School Graduation Year
*
GPA
*
Please enter a number from
0.0
to
4.0
.
Parent/Guardian Name:
*
First
Last
Hidden
Parent/Guardian Name:
Parent/Guardian Email:
*
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.
*
Max. file size: 32 MB.
I agree to
*
Contact Unigo at
[email protected]
to start my 529 college savings plan process and distribution OR Contact Unigo at
[email protected]
once I have been admitted into a college or vocational school program in order to process my award.
Consent
Awardee consent
*
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.
Consent
*
This is confirmation that I am over the age of 18.
This confirms that I am NOT over the age of 18.
Parent/Guardian Consent
*
By clicking this box, you are granting the Partner (as defined in the scholarship notification rules) permission to announce the awardee (for which you identify as the parent or guardian) as one of the winners of the scholarship program, as well as permission to use his/her/their name, image, and excerpts of your application.
As a parent/guardian of the forementioned awardee, 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 the awardee’s name, photograph, and excerpts from the 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 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 this 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/Guardian work location
*
Parent/Guardian Phone
*
Name
This field is for validation purposes and should be left unchanged.
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