Scholarship Disbursement – Lake Chelan Rotary

2021 Lake Chelan Rotary Scholarship Disbursement

Introduction

Congratulations, you have been awarded a 2021-2022 Lake Chelan Rotary Scholarship. This scholarship can only be used for tuition, fees, books, to help further your post-secondary education. Your scholarship will be sent directly to your college of choice by Lake Chelan Rotary. Please complete this form as soon as possible.‬‬ By completing this form you will trigger the payment of your scholarship.

Todays Date*

Name*

First Last

Email*

What is your Student ID Number?*

What is your Mailing Address?*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Which High School did you graduate from?*

Chelan
Manson
Chelan School of Innovation

What year did you graduate?*

2019
2020
2021

Scholarship Type*

Academic
Vocational
ShineOn

Scholarship Amount*

2000
2500
4000

College/University Name*

This is the name of the College/University you will be attending?

College/University Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

This is the address of the College/University scholarship office where your scholarship award should be sent?

Dean of Admissions Name*

First Last

Dean of Admissions Phone Number*

Phone

This field is for validation purposes and should be left unchanged.