ICUA Youth Rally Scholarship Disbursement Request

This is for ICUA Youth Rally scholarship recipients to request their disbursement. The funds are sent directly to the institution. If you have previously attended the Youth Rally and would like to claim your scholarship, please complete this form.

Please email a copy of your acceptance letter and class schedule to ifpinfo@ifpower.org.

First Name:*

Last Name:*

Email Address:*

Phone Number:*

Year of Youth Rally Attendance:* (If you aren't sure, please enter your best guess. If you attended more than once, please enter both years)

Amount Awarded: (If you aren't sure, please leave blank)

Institution Information

Please enter the post-secondary institution you will be attending. Funds will be disbursed directly to them.

Name of Institution:* (Scholarship Disbursed to Any Accredited College, University, Trade School, or other Post-Secondary Education Institutions)

Department of Office to Receive Funds:* (For example, Office of Financial Aid, Registrar or other such office. If you're not sure what to enter here, please type "Not Sure)

Address:*

City*

State*

ZIP*

Country:*

Institution Phone Number:

Additional Information: If you have additional information to provide, enter it here

After you submit this form, please email a copy of your acceptance letter and class schedule to ifpinfo@ifpower.org.

ICUA Youth Rally Scholarship Disbursement Request

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