Free Scholarship Acceptance Form Template
Scholarship Acceptance Form
Scholarship Name:
Scholarship Amount:
Disbursement Schedule:
Full Name
Student ID Number
Address
Phone number
Terms and Conditions
1. Usage of Funds
The scholarship funds are intended solely for educational purposes, including tuition, fees, books, and required supplies. Funds may not be used for non-educational expenses such as housing, personal expenses, or travel.
2. Academic Requirements
The recipient must maintain a minimum cumulative GPA of
3. Activity Requirements
The recipient agrees to participate in mentoring programs, community service, or events organized by the institution. Specific details about these activities will be provided by the scholarship office.
4. Reporting Requirements
The recipient must submit a progress report to the scholarship office by
5. Renewal Policy
The scholarship is renewable. Renewal is contingent upon continued adherence to the terms and conditions, satisfactory academic performance, and submission of any required documentation.
6. Termination and Refund Policy
The scholarship may be terminated under the following conditions:
A. Failure to meet academic requirements.
B. Misuse of scholarship funds.
C. Withdrawal from the institution or change of major that does not align with the scholarship’s intended purpose.
D. Any violation of the institution’s code of conduct.
If the scholarship is terminated or the recipient withdraws from the institution, any unused funds may be required to be refunded to the scholarship provider.
7. Change of Status
The recipient must notify the scholarship office of any significant changes in their academic status or personal circumstances that may affect their eligibility, such as a change in enrollment status, major, or address.
8. Compliance
The recipient agrees to comply with all applicable institutional policies and procedures related to the scholarship and to cooperate with any audits or reviews conducted by the scholarship provider.
9. Dispute Resolution
Any disputes arising from the scholarship terms and conditions will be resolved through mediation or arbitration in accordance with the institution’s policies.
Agreement and Acknowledgment
I,
Applicant's Name:
Date: