MMHS Scholarship Redemption Form

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First semester grades and second semester enrollment must accompany this form and may be printed from your school as long as your name is officially printed on the it.

A signed and dated copy of this form may be mailed, faxed, or hand delivered to the following address:

Machias Memorial High School
1 Bulldog Lane
Machias, ME 04654
Attn: Guidance Office
FAX # 207-255-3093

Feel free to call, email, and/or Facebook if you have any questions.
PHONE 207-255-3812

Email *

Student Name *

Student Address *

Student Phone/Email *

MMHS Local Scholarships being redeemed *

College Attended *

University's Business Office Address *

Have you changed your major/minor? *

yes

Other:

Are you transferring to another institution? *

Yes

If yes, provide the address of the transfer university’s business office: *

Date: *

YYYY

Name: *

A copy of your responses will be emailed to the address you provided.

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