Endowment Scholarship Information Form

Establishing a Scholarship Information Form
Scholarship recipients will be selected by the Grambling State University Scholarship Committee. Donors may play a key role in determining criteria for the award. Recipients will be selected in the spring and awards will be applied toward educational costs for the upcoming academic year.

Please use this information form to help organize your thoughts concerning the establishment of your scholarship to support Grambling State University students. This form serves as a guide for our discussion in defining your intentions.
Name of Scholarship*
Date Established*

MonthDayYear
Date
Name of Donor(s)*
Mailing Address:*

Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Home Number:*
Work Number:*
Email Address:*
example@example.com
Type of Scholarship:*

EndowedAnnualOne-Time
Reason/Purpose for Scholarship:*
Amount of Scholarship Award:
What is the total amount you would like to establish for your endowment?*
Please note: The minimum amount to establish an endowed scholarship is $10,000.00. Contributions can be made as a one-time gift or through installments over a five-year period of time.
When Awarded*

FallSpringSummerHalf Fall/Half Spring

Criteria: The following options are available for the donor to consider. We recommend that you make the criteria as flexible as possible since requirements that are too restrictive may prevent the awarding of your scholarship.

Financial Need:*

YesNo
Renewable:*

YesNo
Resident of:*
If no preference, enter N/A
Major/Area of Study:*
If no preference, enter N/A
GPA Minimum:*

2.02.53.0No PreferenceOther
Classification:*

FreshmanSophomoreJuniorSeniorNo Preference
Student Status:*

Full TimePart TimeNo Preference
Other Information or Preferences:
Should be Empty:

Establishing a Scholarship Information Form