Please state succinctly the reason(s) you are requesting a trip scholarship. If applicable, please explain: income loss due to unemployment, business reversals or bankruptcy, divorce, etc.; extraordinary expenses as a result of illness, nursing home costs, or legal settlements; and any other matter creating extenuating financial circumstances. It will be helpful if you give us specific facts and figures.
I AFFIRM THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND ACCURATE BY TYPING MY NAME AND DATE BELOW:
ALL SUBMITTED INFORMATION WILL REMAIN STRICTLY CONFIDENTIAL.
Is usually located between the
symbols on your check.
Typically comes before the
symbols. Its exact location and number of digits varies from bank to bank.