Scholarship Renewal Form

If you are graduating, Congratulations!  Please complete and submit this form.
(2020 – 2021)

Name
(last)
(first)
(middle initial)
Address
(number and street)
(city)
(state)
(zip code)

The Governor’s Cup Scholarship Program rules require recipients to annually file a statement of intent to continue as a full-time undergraduate student.  Please complete this questionnaire and return it to the program manager no later than January 30th.

Institution
(city)
(state)
(zip)

SELECTION CRITERIA

Grade Level in Fall 2020

Please include a paragraph below highlighting your college experience and accomplishments. We will use these updates when promoting our scholarship program.