Form G Scholarship Award Form printable pdf download

FORM G SCHOLARSHIP AWARD FORM

(Please read Instruction Sheet before completing)

DEADLINE – FORM G: JUNE 1, 2016

NAME OF CLUB: ___________________________________________________EIN #______________

PRESIDENT OR SCHOLARSHIP CHAIR:_________________________________________________

ADDRESS:____________________________________________PHONE:(______)__________________

Street

City

Zip

CONTACT PHONE:____________________

CONTACT PERSON:______________________________E-MAIL:______________________________

PLEASE CHECK THE OPTION BELOW THAT APPLIES TO YOUR CLUB’S SCHOLARSHIP FUNDS

_____1.

Our club does not give a scholarship. (You may stop here. Nothing else is needed on this form.)

Please mail form to

Sue Munns ’80 - Federation 4

Vice President Projects 2016-2017

14909 Fitzhugh Road

Austin, TX 78736

_____2. Our club wishes to contribute $__________to Student Financial Aid Office by May 15, 2015.

$__________ for the fall semester and $__________ for the spring semester. (If you are unable to send full amount

by May 15, send funds for the fall semester by May 15 and the remainder by November 1.) Our scholarship

recipient(s) are to be chosen as follows:

__________a.

We authorize the Student Financial Aid Selection Committee to use its

criteria in choosing the recipients(s) and to decide the NUMBER of

scholarships and the AMOUNT of each.

__________b.

We authorize the Student Financial Aid Selection Committee to choose our

scholarship recipients(s). The criteria to be used have been established by our

club and are either attached or are on file at Student Financial Aid. We wish

to award _________ scholarships in the amount of $ _____________ each.

__________c.

Our club will select our own scholarship recipients(s). Scholarships are to be

disbursed by Student Financial Aid to the students listed as per attached page.

IF YOU CHOOSE OPTION B OR C, PLEASE BE SURE YOU FOLLOW CURRENT TAX LAWS WHEN

ESTABLISHING YOUR CRITERIA. (SEE INFORMATION LISTED ON PAGE 2 OF THE

INSTRUCTIONS FOR FORM G.) THE FEDERATION PRESIDENT-ELECT CAN ANSWER ANY

QUESTIONS YOU MAY HAVE.

NOTE: If you select Option B or C, you must also fill out the Scholarship Donor Form from the Department

of Student Financial Aid from Texas A&M University. Go to:

https://scholarships.tamu.edu/forms.aspx

download and print the Scholarship Donor Form. Click on Scholarship Donor Form.

Revised: 4-29-16 SM

Form G Scholarship Award Form