Foundation - Create Named Scholarship Form

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Donor Information

Name of Donor*

First Name

Last Name

Phone*

Email*

Company Name

If Applicable

Mailing Address

Address Line 1

Address Line 2

City

State

ZIP Code

Scholarship Name*

College*

College you would like scholarship(s) to be applied to (choose one)

Renew Type*

Amount* $

Major:

Degree Intent

The scholarship is intended for (choose one)

Year in School

Is year-in-school to be considered?

GPA

Enrollment

List any special selection criteria you would like considered

Any other comments or suggestions