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Scholarship Acceptance Form

Scholarship Acceptance Form

Please submit this form by June 30, 2017 to hold your scholarship. The scholarship can be held no longer than the end of the first quarter or semester of the second year after graduation from high school (Fall 2018).

If the form is not received by June 30, 2017 this scholarship will be offered to the alternate.

Funds will be released to the institution in your name upon receipt of proof of registration including a student ID number.  Submit proof of registration to Franklin Pierce Foundation, 315 129th St. S, Tacoma, WA 98444 or fpfoundation402@gmail.com.

Note: Unless specified as "OPTIONAL," all fields require an answer.

Scholarship Name:

Your Name:

Mailing Address:

City: State: Zip:

Cell Phone:

Home Phone (OPTIONAL):

Email:

High School Attended:

If known, school you plan to attend (OPTIONAL):

Major or Area(s) of Study (OPTIONAL):

 



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