Project GRAD Scholarship Claim Form

Project GRAD Scholarship Claim Form

Deadlines to claim scholarship: August 31st (Fall) and January 31st (Spring)
Student's Full Name (as listed on school records)*

First NameLast Name
Student Email Address*
example@example.com
Student Phone Number*
Please enter a valid phone number.
HS Graduation Cohort*
High School(HS)*
Are you a First Generation Scholar? (Neither Parent Graduated College)*

YesNo
Student's Local Permanent Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Gender
Race
Ethnicity
Semester/Quarter in which you are claiming your scholarship*
Year in which you are claiming your scholarship
IMPORTANT: (Summer and Winter Semesters are only permitted for approved Vocational/Technical/Athlete Scholars)
Institution (Must be Accredited)*

East Tennessee State UniversityMaryville CollegePellissippi State Community CollegeTennessee State UniversityTennessee Tech UniversityUniversity of Tennessee ChattanoogaUniversity of Tennessee KnoxvilleOther
Institution Type*

4-Year College/University2-Year College/UniversityTechnical/Vocational/Trade SchoolCertification/Apprenticeship Program
Institution/School Address (Bursar, Financial Aid, Student Accounts, etc.)*

Street Address

Street Address Line 2

CityState

Zip Code
Housing Options*

On CampusOff Campus
Student ID or Account Number*
Major (if undecided, write "undecided")*
Will you be a full-time student (12+ credit hours) for this semester?

YesNo
How many credit/clock hours will you take this semester?*
Current GPA (from your most recent unofficial transcript) (if this is your first year, give your ending high school GPA)*
Will you need academic intervention/support this quarter/semester?*

YesNo
(ADMIN ONLY) Academic Intervention Notes
Project GRAD Scholarships can only be claimed by scholars who are enrolled in a full-time program (12+ credit hours) or whatever determines full-time status for institution unless prior approval for special circumstances.

Please email scholarships@knoxed.org for questions.
IMPORTANT: (Student has up to 1 year after HS graduation to enroll at an institution or they will lose the scholarship)
Why are you filling out this form?*

Claim Scholarship - I would like to claim my scholarship for this term.Deferment - I would like to defer (put off) my scholarship for this term.Reactivation - I would like to reactivate my scholarship for this term after NOT being enrolled for consecutive academic terms (deferment).
If, deferring, why are you not enrolling this semester?*

Employment/WorkingPersonalMedicalMilitaryOther
Upload your active orders here*

Cancelof
Detailed written explanation of lapse in enrollment:*
(ADMIN ONLY) Scholarship Amount
(ADMIN ONLY) Claim Number
(ADMIN ONLY) Disbursement Number
Is this your first time ever claiming a scholarship?*

YesNo
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Your Elementary School Attended
Your Middle School Attended
IMPORTANT: (The following Document is required. If Student does not provide the following document, their claim will be DENIED!)
Please upload your most recent progress report/unofficial transcript showing current grades/scores (pdf, jpg). This document may also show upcoming class schedule too. NO phone screenshots accepted or it will be denied.*

Unofficial transcript/Academic progress report
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Please upload your upcoming semester/term class/program schedule showing # of credit/clock hours registered to take (pdf, doc, jpg). Your Name/School/STUDENT ID must show. NO phone screenshots will be accepted.*

Upcoming Class Schedule (if not listed on unofficial college transcript)
Cancelof
(ADMIN ONLY) CCS Approval
(ADMIN ONLY) FNA Approval
By signing below, the student declares that all information provided in this document is accurate and they agree to adhere to the terms and conditions outlined in the Project GRAD Scholarship agreement. They also understand that:
- Students have up to five (5) years to use but not exceed $4000 in scholarship money. Scholarships are disbursed per semester/tri-mester/quarter.
- Students can defer their 1st time claim for up to one (1) year after HS graduation.
- While continuous enrollment is expected, students may have an enrollment lapse at a college(s) and remain in good standing. (Must notify GRAD office)
- Students must be enrolled and classified by credit/clock hours of the attending accredited academic institution as a full-time student per semester/quarter units. If a student drops under the required full-time status during the semester, future scholarship disbursements may be reduced or suspended until appropriate status is attained.
- Students may not receive a scholarship when attending a college or technical school part-time.
- Students must contact the GRAD Office immediately when dropping below full-time, contact information has changed, or when transferring schools.
- Students must maintain a 2.0 grade point average (GPA) or better each semester to remain in good standing for the scholarship.
Student Signature:*

Clear
Should be Empty: