Endowment 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*

Date

Name of Donor(s)*

Mailing Address:*

Address

Street Address Line 2

City State Zip

Home Number:*

Work Number:*

Email Address:*

example@example.com

Type of Scholarship:*

EndowedAnnualOne-Time

Reason/Purpose for Scholarship:*

Amount of Scholarship Award:*

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:*

Classification:*

Student Status:*

Full TimePart TimeNo Preference

Other Information or Preferences:

Establishing a Scholarship Information Form