Universal Remittance Form

Please submit this form by June 3, 2022

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* 1. Name of Scholarship Fund (one scholarship per form):

Please complete the following for each scholarship recipient.
SCROLL to Question 9 to complete the form after your students have been entered.
(If you have more than 7 scholarship recipients, email Deb Wright at dwright@cfgnh.org
with the additional student information)

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* 2. Student No. 1

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* 3. Student No. 2

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* 4. Student No. 3

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* 5. Student No. 4

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* 6. Student No. 5

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* 7. Student No. 6

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* 8. Student No. 7

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* 9. Please describe your selection process for scholarship recipient(s). This question needs to be completed for the current year's process; please do not answer "same as last year."

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* 10. In the space below, please list your committee members with titles. This question needs to be completed for the current year's process; please do not answer "same as last year."

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* 11. Person completing this form:

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