Lawnside Scholarship Club Request Form - Lawnside Scholarship Club

Student Name

First

Last

Email

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone

Home Phone

College Phone

College | Institute

College | Institute Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Current Major

Career Goal

Check the Scholarship(s)/Award(s) you are requesting:

Scholarship Celebration Photos

I agree to have my photo from the scholarship celebration posted online.
I do not agree to have my photo from the scholarship celebration posted online.

Payment Disbursement

I understand a check will be made payable jointly to me and the college, university, or institute that I list below. The check will be mailed to the address specified in above. If I withdraw or do not attend the institution listed above, the unused portion of the scholarship must be returned to the Club.

Proof of your semester enrollment due by September 30, 2024

Tuition bill and class registration on college letterhead. We will request a copy of your grade transcript at the end of the semester. *Expect four weeks for processing.*

Upload your enrollment documents

Click or drag files to this area to upload. You can upload up to 3 files.

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