Fall 2018 Textbook Rental Scholarship Application for Incoming Freshman
Please fill out the following form in its entirety to be entered to win ONE of EIGHT textbook rental scholarships to be used in the Fall 2018 semester! (One $250 rental scholarship, One $150 rental scholarship and Six $100 rental scholarships)

*Recipient must graduate from high school during the 2017-2018 school year.
*Recipient must be attending one of the following universities: Harding University, ASU Beebe, ASU Searcy or ASU Heber
*Form must be submitted by May 31st, 2018.
*Only one entry per student.
*Winners will be chosen by random in a drawing to be held June 1st, 2018.
*Recipients must provide us a copy of their schedule by August 1st, 2018.
*Scholarship must be used during the Fall 2018 semester.
*Scholarship can only be applied to books that are rented.
*Scholarships can be used only at Textbook Brokers in Searcy, AR.

Student's Full Name? *
Your answer
Student's Email? *
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Student's Phone Number? *
Your answer
Current High School? *
Your answer
Planned School of Attendance? *
Intended Course of Study? *
Your answer
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