Scholarship Reporting (school/institution use only) Organization Name:(Required)Scholarship Fund Name:(Required)Grant Amount:(Required)Grant Date:(Required)Grant Number:Contact Person:(Required)Contact Email:(Required)Name of scholarship recipient(s), including amount awarded, declared major and school email address for each student:(Required)Date scholarship funds were disbursed to student account(s):(Required)Were all of the grant funds disbursed?(Required) Yes No I certify that the selection of the recipient was done in an open, fair and equitable process; that no member of any recipient's immediate family participated in the selection process; and that the criteria for the scholarship, as determined by the donor, was fully met.(Required) Yes No Signature:(Required)
