2012-2013
KNOX COLLEGE
SCHOLARSHIP QUESTIONNAIRE / RELEASE OF INFORMATION AUTHORIZATION
Some of the endowed and gift scholarships that support the funding of Knox Grant/Scholarships have special eligibility requirements.  Your answers to the questions below will help us make the best use of these funds.  Please provide as much detail as possible.  Submission of this form authorizes the Office of Financial Aid and/or the Office of Advancement permission to release the information reported on this form to sponsor(s) of my Knox Grant/Scholarship.
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Q2
Permanent Address Information:
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Q4
Q5
Q6
Q7
Q8
Q9
Q10
Q11
Q12
Q13
Q14 Are either of your parents employed by the Burlington Northern Santa Fe Railroad?
 
Q15 Are either of your parents deceased?
 
Q16 Are you a first-generation college student?  (Neither parent attended college.)
 
Q17 Are you the descendant of a person who served in the U.S. armed forces during World War I or II?
 
 
 
Q18 Are you a Navajo Indian or a descendant of a Navajo Indian?
 
Q19 Are you preparing for a career in business?
 
Q20 Do you plan to go to graduate/professional school?
 
Q21 For music majors only?
   
  Do you smoke cigarettes?  
  Do you drink alcoholic beverages?  
KNOX COLLEGE
SCHOLARSHIP QUESTIONNAIRE
AND RELEASE OF INFORMATION AUTHORIZATIONS
Donors of some of the endowed and gift scholarships, which support the funding of Knox Grant/Scholarships, have stipulated that recipients meet specific eligibility requirements.  Recipients of Knox Grant/Scholarship funds are asked to complete this Scholarship Questionnaire  and agree to the Release of Information Authorizations by submitting this form.  The information you provide allows the Office of Financial Aid to match students with these endowed and gift scholarships.  

If you are named to one of these funds, it is likely that you will be required to write a thank you letter to the donor.  Your cooperation in completing this questionnaire and responding to a request to write a letter is appreciated.
OFFICE OF FINANCIAL AID / OFFICE OF ADVANCEMENT
RELEASE OF INFORMATION AUTHORIZATION
I request that the Registrarís Office release my current cumulative grade point average to the Office of Financial Aid and/or the Office of Advancement for the purpose of transmitting the information to sponsor(s) of my Knox Grant/Scholarship.
Submit this form if you agree to release the information as listed above.

 
 
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