Senior Scholarship Reporting Form

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SENIORS ONLY Please fill out the form for any and all scholarships you have been offered. Make sure you report all amounts you have been OFFERED not just the amounts you are accepting. If you have been offered more than 5 scholarships please complete another google form reporting all other scholarship offers.

***Please be specific when reporting the total amount of scholarship offered. Example if you were offered $4,000 for 4 years then your total would be $16,000. Another example would be if you were offered $500 per semester for 2 semesters then your total amount would be $1,000. Please do not just say 100% tuition. It varies at every school and I need to know the total amount.

If you have any questions please contact Mrs. Eversole at aeversole@dsdmail.net

Last Name *

First Name *

Student ID# *

GPA

ACT Score

Ethnicity

Are you a first generation college student?

Yes

Clear selection

Scholarship #1

#1 University or Scholarship Sponsor

#1 Total Amount of Scholarship Offered

Scholarship #2

#2 University or Scholarship Sponsor

#2 Total Amount of Scholarship Offered

Scholarship #3

#3 University or Scholarship Sponsor

#3 Total Amount of Scholarship Offered

Scholarship #4

#4 University or Scholarship Sponsor

#4 Total Amount of Scholarship Offered

Scholarship #5

#5 University or Scholarship Sponsor

#5 Total Amount of Scholarship Offered

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