Scholarship Disbursement Request

This is for Youth Rally scholarship recipients to request their disbursement. The funds are sent directly to the institution.

Requestor Information

If you aren't sure, please enter your best guess. If you attended more than once, please enter both years.
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.
Scholarship Disbursed to Any Accredited College, University, Trade School, or other Post-Secondary Education Institutions
For example, Office of Financial Aid, Registrar or other such office. If you're not sure what to enter here, please type "Not Sure."
Institution's Address
Max. file size: 100 MB.
Any proof of enrollment will work including: Class Schedule with your name on it, registration letter or other.