The information requested below is optional, but failure to provide answers may disqualify you from consideration for some scholarships because of specific criteria placed on the scholarship by the donors.
Certification: All of the information on this form is true and complete to the best of my knowledge. Release of information*: I hereby authorize the University to release my name, photo, and any other information I have supplied in this application to various Institutional and Community Scholarship Committees for selection of scholarships and press releases.