GE84-Request for Disbursement of Scholarship Funds
At one of the KHSAA championships, you were awarded a scholarship. We are proud of your accomplishments, but need additional information so the arrangements can be made.
Keep in mind the awards are made payable to your institution of higher learning. So we will need this form filled out in its entirety. All fields are required.
You will then receive a notice with the appropriate instructions to the email you complete on the form.
Thank you and congratulations!
Scholarship Name *
Amount of Award: *
Student's Name *
Your answer
Student High School: *
Your answer
Student Address *
Your answer
Student City *
Your answer
Student Zip: *
Your answer
Student Contact Phone: *
Your answer
Student Email: *
Your answer
College/University Name *
Your answer
College/University Address: *
Your answer
College/University City: *
Your answer
College/University State:
Your answer
College/University Zip: *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of KY High School Athletic Association.