Enrollment Notification and Scholarship Payment Request

To help us process and send your scholarship award payment, please complete the following fields and upload a copy of your course schedule:

First Name

Last Name

Date of Birth

Student ID

Home Address

City

State

Zip Code

School Contact Information

Name of Institution

Office Handling Tuition Payments

Address

City, State, Zip Code

Scholarship Information

Name of Scholarship You Were Awarded

Date Tuition Payment is Due

Upload a Copy of Your Course Schedule

Please upload a copy of your course schedule. (pdf and jpg files accepted.) Your award check will not be processed without a copy of your course schedule.

Transcript (Only for Scholarship Renewals)

If you are requesting a renewal of your scholarship, please upload your most recent transcript. (pdf and jpg files accepted.)