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Scholarship Information Report Form

Complete this web form if you will receive private scholarships from an outside source. Do not include scholarships received from a CU-Boulder department or organization. Click the submit button below when complete.

Student Name:  

Student ID #:  

Email Address: 

Phone: 


1. Scholarship Name
Amount $

Where will the donor mail the scholarship check?
CU Financial Aid Office directly to me

Enter the academic year(s) that you will receive this scholarship.
2. Scholarship Name
Amount $

Where will the donor mail the scholarship check?
CU Financial Aid Office directly to me

Enter the academic year(s) that you will receive this scholarship.
3. Scholarship Name
Amount $

Where will the donor mail the scholarship check?
CU Financial Aid Office directly to me

Enter the academic year(s) that you will receive this scholarship.
4. Scholarship Name
Amount $

Where will the donor mail the scholarship check?
CU Financial Aid Office directly to me

Enter the academic year(s) that you will receive this scholarship.
If you have more scholarships than this list allows, click here:
The Scholarship Office will contact you.

Additional comments:

 

    

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