Foundation for Delta Educational and Economic Development

Scholarship Payment Request Form

Participant's Full Name
Address (to mail payment)
Please provide information regarding the college, university, or vocational school you plan to attend for the 2021 summer or fall term and attach verification documents:
Documents provided to verify admission and enrollment (two documents required):

I hereby submit documentation to verify my admission and enrollment in the institution listed above.  I acknowledge that the scholarship funds will be disbursed by check and sent to my mailing address, as provided above.


Submit above information and documents by September 30, 2022