Iris Louise Cox

Memorial Scholarship Application

FIRST YEAR FUND REQUEST

Part I: Tell Us About You

First name

Last name

Phone

What year did you graduate high school?

College or University Name

Cumulative GPA

Tell us about your collegiate experience so far - share any interesting news about yourself, discuss your major area of studies, accomplishments, honors, etc.

Part II: Transcript and Class Registration

Transcript (Grades from Fall Semester)

Class Registration (Enrollment for Spring Semester)

Note:  First year scholarship recipients must submit the above information. Requests received without all of the above information will be considered incomplete and funding may not occur. 

I certify the information I have provided in this application is factual.

Yes

Signature

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