DEMCO Foundation Scholarship Application

Applicant's Personal Information
Current Address:
All Members of Household
Include yourself in this number.
Re-order Member Name Relation To Student Sex Date of Birth Monthly Income Source of Income or Employer Name/Phone # Weight Operations
Sex
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Additional Information
Classification:
Has applicant earned a high school diploma or equivalent?
Has applicant applied for DEMCO Foundation Scholarship before?
Has applicant received DEMCO Foundation Scholarship before?
Semester Applied For:
Letter of Acceptance for first time and/or transfer students:

The information contained in this statement is for the purpose of applying for a scholarship from the DEMCO Foundation for the benefit of the undersigned (applicant). The applicant understands that the information provided will be used in deciding whether to grant scholarship and individually represents and warrants that the information provided is true and complete and that the DEMCO Foundation may consider this statement as continuing to be true and correct until a written notice of change is provided.  The DEMCO Foundation is authorized to make all inquiries deemed necessary to verify the accuracy of the statements made on this application.  The applicant grants to the DEMCO Foundation the right to check any and all references with respect to the information contained in the application and the applicant waives any right to restrict the DEMCO Foundation’s access to such information.  Applicant understands that if such information is made unavailable to the DEMCO Foundation, the DEMCO Foundation may reject the application.  Applicant agrees that information provided to and received by the DEMCO Foundation may be shared with a selection committee.  All information will be kept in the strictest confidence and will be used for the purposes intended. The number of scholarships awarded will be based on available funds.

The applicant also agrees that the DEMCO Foundation may use this application, if approved, for publicity and promotional purposes, but that the applicant’s name and address will not be used for this purpose unless approved by the applicant prior to the promotion.

Please certify your agreement to this release by submitting an electronic signature(s).

To provide an electronic signature, type your name(s).