(Note: *Required) The
Hathaway Scholarship Program is only available
to those students who graduated in or after 2006 and must be
utilized within 2 years of graduating.
(Note: N/A for none)
I am applying for the Hathaway Scholarship beginning
in the following term and year:*
*Full Time (12+ credits per semester)
(6-11 credits per semester)
High school graduation date:
High school name:
GED completion date:
Home school graduation date:
Are you planning to apply for the need-based
financial aid portion
of the Hathaway Scholarship Program? (FAFSA form required)*
Please answer all the following questions:
*Are you a US Citizen?
If a male, have you complied with the
selective service requirements for registration?
*Are you in default on a federal Title IV
*Do you owe a refund on a federal Title IV
student aid program?
*Have you been convicted of a felony in this
state or another jurisdiction?
By checking this box, I verify under penalty of
false swearing under Wyoming Statute 6-5-303 that the above
information is correct.
Please understand the following:
"By submitting this form, I hereby consent to have
my grades, transcripts or other information from my admissions or financial aid files
released to authorized officials when any or all of the information is
required for the grant for which I am applying or may be awarded.
I also certify that the information provided is true and correct to the
best of my knowledge."
If you have any questions please feel free to contact us at: firstname.lastname@example.org.
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