Senior Scholarship Report Form
Seniors, please list EVERY scholarship you have been offered (even those for schools you are not planning to attend).  This form will allow you to enter up to 5 scholarships.  If you have been offered more than 5 scholarships, open a new form and continue your list on the new form.  PLEASE NOTE: the dollar amount WILL NOT be printed in the commencement program, however, the District Office requests this information. This form will remain open through April 30th. Any questions, contact Kelly Rausch rauschk@district279.org / 763-391-8704.
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Email *
GRADUATION YEAR *
STUDENT ID NUMBER *
STUDENT LAST NAME *
STUDENT FIRST NAME *
TITLE OF SCHOLARSHIP  #1
NAME OF INSTITUTION OFFERING SCHOLARSHIP #1
DOLLAR AMOUNT OF SCHOLARSHIP #1 (EX: $5,000 PER YEAR FOR 4 YEARS OR $20,000)
TITLE OF SCHOLARSHIP #2
NAME OF INSTITUTION OFFERING SCHOLARSHIP #2
DOLLAR AMOUNT OF SCHOLARSHIP #2
TITLE OF SCHOLARSHIP #3
NAME OF INSTITUTION OFFERING SCHOLARSHIP #3
DOLLAR AMOUNT OF SCHOLARSHIP #3
TITLE OF SCHOLARSHIP #4
NAME OF INSTITUTION OFFERING SCHOLARSHIP #4
DOLLAR AMOUNT OF SCHOLARSHIP #4
TITLE OF SCHOLARSHIP #5
NAME OF INSTITUTION OFFERING SCHOLARSHIP #5
DOLLAR AMOUNT OF SCHOLARSHIP #5
A copy of your responses will be emailed to the address you provided.
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