Scholarship Intake Form

Scholarship Donation Intake Form

To create a new named scholarship or continue an existing scholarship, please complete this form. The information will help ensure we award your scholarship to the candidate(s) who best meets your intended selection criteria. If you have questions, please contact Abbie Holland, ASF president, at .

Scholarship Name*
Sponsor/Organization
Name of primary contact person*
First Last
Address*
City*
State*
Zip Code*
Phone*
Email address for primary contact person*
Enter Email Confirm Email
Preferred method of contact
- Email
- Phone
- USPS
Individual Scholarship Amount*
- $1000
- $2000
- $3000
- $4000
- $5000
- Other Choice
Other Amount
Enter Amount
Number of Scholarships You Intend to Award This Year*
Total Amount of Scholarship Donation This Year
Price: $0.00
Preferred method of payment*
- Check to Arrowhead Scholarship Fund
- WCCF Transfer
- Online Payment
NOTE: Since you chose "Online Payment," note that you will be directed to PayPal after submission of the form to pay online using PayPal or a credit card.
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Please provide background about the scholarship (e.g. intended purpose, person commemorated, etc.)
Award requirements/selection criteria (e.g. desired major, GPA, community service, extracurriculars, etc.)
The ASF Board will select the recipient based on this criteria. If you would like to participate in the selection process, please contact Abbie Holland, ASF president, at .
Would you like to present the scholarship at our award ceremony in May?*
- Yes, please!
- No, thank you.
If you are not able to attend the ceremony, your scholarship will be presented by a member of the ASF Board.
Phone
This field is for validation purposes and should be left unchanged.

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