Scholarship Reporting--Class of 2021
Please report ALL scholarship offers so that Ms. Paschal can compile the data by April 2nd.  If you receive any scholarship offers after completing this form, report them directly to Ms. Paschal by emailing tpaschal1@usd259.net or calling (316)973-6058
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Email *
LEGAL First Name *
LEGAL Last Name *
PREFERRED First Name *
Phone Number (in case I have questions!) *
What is your plan for next year? *
If you are attending college, WHERE do you plan to enroll Fall 2020?
Did you complete the FAFSA for the 2021-2022 school year? *
If you answered YES to the previous question, who (if anyone) helped you complete it? If you answered NO, why didn't you complete it?
Scholarship #1--Organization or College Name (ex. Black Chamber of Commerce, Rotary Club, First United Methodist Church, WSU Tech, Butler etc.)
Scholarship #1--TOTAL Scholarship Amount or what the scholarship will cover (EXAMPLE: A $1,000 RENEWABLE scholarship is worth $2,000 at a 2-year school and $4,000 at a 4-year school OR this scholarship covers Tuition & Books, Room and Board, etc. )?
Scholarship #1--Will you use this scholarship next year?
Clear selection
Scholarship #2--Organization or College Name (ex. Black of Chamber Commerce, Rotary Club, First United Methodist Church, WSU Tech, Butler, etc.)
Scholarship #2--TOTAL Scholarship Amount or what the scholarship will cover (EXAMPLE: A $1,000 RENEWABLE scholarship is worth $2,000 at a 2-year school and $4,000 at a 4-year school OR this scholarship covers Tuition & Books, Room and Board, etc. )?
Scholarship #2--Will you use this scholarship next year?
Clear selection
Scholarship #3--Organization or College Name (ex. Black of Chamber Commerce, Rotary Club, First United Methodist Church, WSU Tech, Butler, etc.)
Scholarship #3--TOTAL Scholarship Amount or what the scholarship will cover (EXAMPLE: A $1,000 RENEWABLE scholarship is worth $2,000 at a 2-year school and $4,000 at a 4-year school OR this scholarship covers Tuition & Books, Room and Board, etc. )?
Scholarship #3--Will you use this scholarship next year?
Clear selection
Scholarship #4--Organization or College Name (ex. Black Chamber of Commerce, Rotary Club, First United Methodist Church, WSU Tech, Butler, etc.)
Scholarship #4--TOTAL Scholarship Amount or what the scholarship will cover (EXAMPLE: A $1,000 RENEWABLE scholarship is worth $2,000 at a 2-year school and $4,000 at a 4-year school OR this scholarship covers Tuition & Books, Room and Board, etc. )?
Scholarship #4--Will you use this scholarship next year?
Clear selection
Scholarship #5--Organization or College Name (ex. Black Chamber of Commerce, Rotary Club, First United Methodist Church, WSU Tech, Butler, etc.)
Scholarship #5--TOTAL Scholarship Amount or what the scholarship will cover (EXAMPLE: A $1,000 RENEWABLE scholarship is worth $2,000 at a 2-year school and $4,000 at a 4-year school OR this scholarship covers Tuition & Books, Room and Board, etc. )?
Scholarship #5--Will you use this scholarship next year?
Clear selection
A copy of your responses will be emailed to the address you provided.
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