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Bower Memorial Purdue Scholarship Renewal
This form is for recipients of the Bower Memorial Purdue Scholarship. You must complete it to be considered for your renewal for the upcoming school year. Please email your most recent transcript and tuition bill to
scholars@tiptoncf.org
. Please contact Chad Huff at that same email or at (765) 675-1943 with questions.
The deadline for completion is May 1.
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* Indicates required question
Name
*
Your answer
Name of Parent / Guardian
*
Your answer
Date of Birth
*
( format: mm/dd/yyyy )
Your answer
Permanent Address
*
Your answer
City
*
Your answer
Postal Code
*
Your answer
Primary Email Address
*
Your answer
Primary Phone #
*
( format: xxx-xxx-xxxx )
Your answer
School Data
High School
*
Choose
Tipton High School
Tri-Central High School
Current Year
*
( in college )
Choose
Freshman
Sophmore
Junior
Student ID Number
*
Your answer
Major Field of Study
*
Your answer
What Purdue campus do you plan on attending for the upcoming school year?
*
Your answer
I have forwarded my most recent transcript to
scholars@tiptoncf.org
*
Choose
Yes
No
I have forwarded my current tuition bill to
scholars@tiptoncf.org
*
If you will not receive a bill by the deadline, please contact the Foundation
Choose
Yes
No
Have you taken / are you planning to take summer courses?
*
If so, how do you plan to pay for them?
Your answer
What is your projected graduation date?
*
(format: mm/yyyy)
Your answer
Have you already attained your bachelors degree?
*
Yes
No
What are your current career plans?
*
Your answer
Please list the names and amounts of any financial aid grants or scholarships you have been awarded for the coming school year.
*
Your answer
Please list any jobs or internships (specify paid or unpaid) that you have.
*
Your answer
What is your Estimated Family Contribution (EFC) determined from your completion of the FAFSA?
*
Your answer
Not including student loans, was the aid that you received last year sufficient for covering tuition and related fees?
*
Yes
No
If aid was sufficient, how much excess was remaining?
*
Reply "NA" if not applicable
Your answer
If aid was not sufficient, how much had to be paid from other sources? (loans, out-of-pocket, work-study, etc)
*
Reply "NA" if not applicable
Your answer
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