Winner’s Submission – MyScholarship.App

Congratulations again on being selected as a scholarship winner!

*Please complete the Financial Aid Office Contact section ONLY if you are currently enrolled in college/university/trade or vocational school. Please verify the Financial Aid Office Contact prior to submitting this form.

If you do not submit this form within 10 days of notification, you will forfeit the scholarship and another winner will be selected.

"*" indicates required fields

What scholarship were you selected for?*

Scholarship Release Form

Student Name*

First Last

Hidden

Student Name. (First and Last)*

Birth Date*

Gender at Birth*

GPA*

Please enter a number from 0.0 to 4.0.

Email.*

High school graduation year*

What school year are you in?*

Have you already been admitted to a college or vocational school?*

Please attach a recent photograph of yourself (taken within the last 6 months); a digital picture in a .png or .jpg format is preferred.*

Max. file size: 80 MB.

Please attach a copy of your most recent report card or grade transcript.*

Max. file size: 80 MB.

Financial Aid Office Contact Form

Student ID*

School Name*

Financial aid office contact name*

Financial aid office phone number*

Financial aid officer email*

Consent

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 Name*

First Last

Parent/Guardian work location*

Parent/Guardian email*

Parent/Guardian Phone*

Comments

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