Please sign this confirmation of accuracy for your MERIT SCHOLARSHIP application.
Guardian approval required if under 18 years of age.

I confirm that my application submission provides accurate and true information/statements.

Others listed below will be sent your application submission automatically for their approval.

Applicant:  

Parent or Guardian (If applicant is under 18yrs. old):  

Parent or Guardian EMAIL:  

Parent Phone:  

Reference 1 in Support of Applicant:  

Reference 1 EMAIL:

Reference 1 Phone:  

Reference 2 in Support of Applicant:  

Reference 2 EMAIL:  

Reference 2 Phone:  

Reference 3 in Support of Applicant:  

Reference 3 EMAIL:  

Reference 3 Phone: