Stoughton High School 2022-23 Scholarship Information Form
Please submit no later than January 13th, 2023
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Name of Scholarship: *
Name of organization awarding this scholarship: *
Number of scholarships to be awarded: *
Total amount of scholarship(s): *
Scholarship contact person: *
Contact person's email: *
Scholarship contact person phone#: *
Alternate phone number:
Will your organization provide someone to present the scholarship at the Honor's Program: *
Please note that we strongly encourage you to send someone from your organization to present.
Name of your presenter:
Email for your presenter: (We will email details of the night)
Phone number of your presenter:
The name of who should receive the thank you note: *
Please provide the mailing address where thank you  note should be sent: *
Please describe specific criteria for your scholarship(s): *
Please do not say "same as last year".
Please indicate the requirements for collecting the scholarship: *
Please check one
Please indicate who the scholarship should be paid to: *
Please check one
Please indicate who will disburse the scholarship to the recipient: *
Please note if you would like to have the school district disburse the funds, you will need to get payment to our business office in by June 30th.   (SASD-320 North Street, Stoughton, WI  53589)
Please provide other instructions or details regarding your scholarship.
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