External Scholarship/ Resource Form

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You should complete this form to notify the Office of Scholarship Services that you will be receiving an external scholarship or resource each year. Along with this form, please send us a copy of all correspondence from the external donor that accompanied your award.

Student Name *

Jag Number *

Phone Number *

JagMail Address *

Name of Scholarship Award *

Donor Contact Information (Agency Name, Contact Person, Telephone Number, and/or Email Address) *

Amount of Award *

Semester(s) for which the award is designated (Select all that apply) *

Fall

Spring

Summer

Required

Academic year for which the award is designated (i.e. 2017-2018) *

Scholarship Services will not credit this award to a student’s account until the funds have been received by our office. To ensure credit is issued in a timely manner, please have the scholarship donor forward your check to the address below.

If a transcript or proof of enrollment is required, it is the responsibility of the student to provide this information to the donor. Instructions on how to obtain this information through your student account are available through the Office of the Registrar’s website

Date Submitted *

YYYY

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