Scholarship Portal

Tip: Make sure you have the name of the scholarship(s) you were awarded, as well as your class schedule, institution bill, or other proof of enrollment before filling this out.

Full name

Address

Personal email

Additional contact email

Phone number

Student ID # for Institution of Higher Education

Year of HS graduation

Name of institution/school

Full address of institution where we should send the check

Contact person (if any)

Contact person email address

Contact person phone #

FERPA Authorization: Do you give permission to the Melrose High School Permanent Scholarship Fund to speak to the Financial Offices at your school on your behalf, related only to facilitating information and payment of your MHS Scholarships?

Yes No

Scholarship(s): Up to three at a time

Name of scholarship you wish to redeem

Amount of scholarship ($)

Scholarship #2

Amount of second scholarship ($)

Scholarship #3

Amount of third scholarship ($)

Please upload either your class schedule or your institution bill as proof of enrollment.

IMPORTANT: Max. file size 2 MB; pdf, jpg, png files only

Comments

The MHS Permanent Scholarship Fund