Tax Credit Scholarship - Decline Award
Please fill out this form to decline your Big Shoulders Fund Tax Credit Scholarship.
By filling out this form you are forfeiting your right to your Tax Credit Scholarship from the Big Shoulders Fund. Once this form has been submitted your funds will be returned to the pool of applicants for others on the waitlist.


Parent Name *
Your answer
Student Name *
Your answer
Student DOB *
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Awarded School Name *
Your answer
Parent Email *
Your answer
Parent Phone *
Your answer
Reason for Denial *
Your answer
By checking this box I am declining my Tax Credit Scholarship from Big Shoulders Fund. I understand that this decision is final and my funds will be assigned to another applicant. *
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