Stoughton High School 2019-20 Scholarship Information Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please submit no later than January 11, 2020

Name of Scholarship: *

Name of organization awarding this scholarship: *

Number of scholarships to be awarded: *

Total amount of scholarship(s): *

Scholarship contact person: *

Contact person's email: *

Scholarship contact person phone#: *

Alternate phone number:

Will your organization provide someone to present the scholarship at the Honor's Program: *

Please note that we strongly encourage you to send someone from your organization to present.

Yes

Unsure at this time

Required

Name of your presenter:

Email for your presenter: (We will email details of the night)

Phone number of your presenter:

Would you like a high school staff member to present your scholarship? *

yes

Required

Complete name and address of who should receive the thank you note *

Please describe specific criteria for your scholarship(s): *

Please do not say "same as last year".

Please indicate the requirements for collecting the scholarship: *

Please check one

Scholarship payment will be available upon proof of registration for the first semester of college. Example: welcome letter, schedule or transcripts (addressed to student) and with University or College name and address on it.

Scholarship payment will be available once first semester grades are provided. (Student will send a copy of their transcripts along with their Student ID)

Student will receive payment the night of the program.

Other:

Required

Please indicate who the scholarship should be paid to: *

Please check one

Student

Student's college or university

Required

Please indicate who will disburse the scholarship to the recipient: *

Please note if you would like to have the school district disburse the funds, you will need to get payment to our business office in by June 30th. (SASD-320 North Street, Stoughton, WI 53589)

Donor

School District

Required

Please provide other instructions or details regarding your scholarship.

PLEASE SUBMIT NO LATER THAN JANUARY 11th

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Stoughton Area School District. Report Abuse

Forms