Scholarship Donor - Class of 2025

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Please complete and submit this form to let us know if we should include your scholarship on our student application. Funds do not need to be submitted now to be included on the application. All funds should be sent via check or money order, payable to Pinelands Regional Scholarship Fund, by May 1, 2025.

If your organization sponsors more than one scholarship with different names, please complete a form for each one.

Kindly respond no later than January 31st. Thank you!

Email *

Name of Scholarship *

Name of Organization/Business/Family/Individual Sponsoring Scholarship *

Primary Contact Person Name *

Primary Phone # *

Mailing Address *

Participation in the Class of 2025 Scholarship Drive

YES! You can count on us to participate this year

Unfortunately, we are unable to participate this year

Clear selection

# of Scholarships and Amount Each (Example: 2 @ $250)

Criteria

Will your organization be dispensing funds directly to the student? *

No-All funds will be submitted to Pinelands Regional Scholarship Fund for payment to the student

Yes we will pay the student directly

Our organization wishes to review our list of applicants to select our recipient *

Yes

Please have the Pinelands Regional Scholarship Committee select our recipient

This scholarship requires an Essay to be written. *

Yes

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