New Student Appeal Form

First Name

M.I.

Last Name

Date of Birth

Phone

Street Address

City

State

Zip code

High School

Graduation Date

Have you completed all steps in the scholarship process?

Yes

If no, apply at evolve502.org/scholarship before submitting this form.

Have you received any prior correspondence concerning your eligibility?

Yes

If you answered yes to the previous question, please list the reason you were given (e.g. wrong graduation year, early graduation, you are not eligible for KEES, etc.)

Please describe for us why you believe, even if you might not meet our criteria, you should be eligible for the Evolve502 scholarship:

Is there anything else you would like us to know or anything you can provide to us to help make our decision about your eligibility for the Evolve502 Scholarship?

Attachments

Please include any attachments that may support your appeal (doctor’s note, transcript, etc.) This is not required.

Drop files here or

Max. file size: 50 MB.

CAPTCHA