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External Scholarship Response Form
Click here for a PDF of this form if you would rather print and mail.

You must complete this form if you have been awarded financial assistance in excess of $100 from a source other than those normally handled through Muskingum. Examples include scholarships from corporations, foundations, trusts, churches or other private agencies. Adjustments to previously awarded financial aid will be made where necessary. In most cases external award(s) will reduce the direct cost to family, loans or work study. There may be instances where it is necessary to adjust grants or scholarships.

If you need proof of enrollment or a copy of the student’s schedule for scholarship disbursement, please contact the Registrar at 740-826-8164. If you need a billing statement or proof of payment, please contact the Business Office at 740-826-8111.

Please submit information for each award individually.

First Name
M.I.
Last Name
Student ID
E-Mail A value is required.Invalid format.

Name of Award
Address of Sponsoring Agency


City, State, Zip
Contact Person
(if known)
Phone
Yearly Award Amount
The scholarship will be disbursed:


 


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