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2023-2024 Academic Rodeo Scholarship Update Form
For Scholarship Award Recipients who have NOT graduated:
Please provide the following information to update our records.
This will allow us to have the most current contact information to alert you of needs related to your award.
Graduates should complete the
Request for Release of Funds
document and submit with other documents for the release of payments to universities.
Thank you.
Student Information
Student First Name
*
Student Last Name
*
Current Grade
Seniors complete the Request for Release of Funds
select
6th
7th
8th
9th
10th
11th
12th
Graduate
*
Award Year
If multiple awards, list as 2011, 2012, 2015
*
Expected Graduation Year
*
Contact Information
Current Street Address
*
Additional Street Address
City
*
State
Select State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip Code
*
Is this a NEW address?
No
Yes
*
E-Mail for Best Contact
*
Owner of E-Mail
Parent
Student
Other
*
Additional E-Mail
Owner of Additional E-Mail
Parent
Student
Other
Primary Contact Phone Number
*
Owner of Primary Phone Number
Parent
Student
Other
*
Additional Phone Number
Owner of Additional Phone Number
Parent
Student
Other
Person Completing Form
First Name
*
Last Name
*
Email Address
*
Sign me up for email updates
*
Update Info
*
Submit
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