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Scholarship Establishment Application
Time 4 Change scholarships provide assistance to those with academic skills who are on a purposeful journey to change themselves and/or the world. Each scholarship is tailored to different persons and helps them on their journey to Higher Education. On their journey through college, we believe the youth becomes aware of them selves, and we aim to teach the importance of unity while encouraging the to get involved in their community.

As a potential establisher for a Time 4 Change scholarship, you join those on the mission to bringing CHANGE to our communities for generations to come. On behalf of our organization, we thank you for supporting our mission of promoting higher education while teaching self-awareness, community involvement and unity.

If you have any questions, please contact us via email at scholarships@time4changeinc.org.
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Establisher's Name(s): *
Establisher's Age: *
Establisher's Phone Number: *
Establisher's Email: *
Establisher's Address: *
If the establisher is a business, please provide business address
School the Scholarship is Intended for: *
Please list whether High School or Collegiate Institution
City and State of School: *
Are you an alumni of this school?
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If yes, what year did you graduate?
Name of intended scholarship?
Why would you like to name this scholarship the name listed above? *
Giving Time 4 Change's mission to advocate for higher education while teaching self-awareness, unity and community involvement, how does the name represent an example for CHANGE? | Minimum 150 words
Duration of Scholarship: *
Please select a duration for this scholarship's existence. Please note that this scholarship can be extended at any time at your request.
Scholarship Amount: *
Establisher's agree to fund scholarship for duration of the scholarship's existence? *
Establisher shall provide total scholarship amount to Time 4 Change for disbursement by December 31st of the year prior to scholarship being awarded. Please note that Time 4 Change, Inc is a 501c3 nonprofit organization and all donations are tax deductible. In order to ensure this deduction, funds must be received by Tax Deadline (example: If scholarship is awarded in 2020, funds must be received by Time 4 Change by December 31, 2019)
Who is this scholarship attended for: *
Please list gender, grade level (Freshmen, Sophomore, Junior or Senior),  and additional criteria for scholarship
Do you have or can obtain access to a faculty or staff member at the school to act as the representative for the scholarship at the intended institution? *
If not, Time 4 Change will contact the institution and maintain the relationship through the scholarship's existence.
Would you like to select a committee to select the winner of this scholarship? *
If not, Time 4 Change will select a committee of 5 person(s). You will be responsible for appointing 1 person to this committee.
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