Scholarship Request

Please provide the information below to be considered for an OLLI at MSU scholarship. All information will remain confidential. Scholarships are available for full course/program fees and up to 50% of the annual $45 membership fee. The remaining membership fee must be paid by the scholarship recipient. Scholarships will be applied directly to your registration. For additional information please contact us at 406-994-6550.

Applications must be submitted as early in the program year as possible and no later than 2 weeks before the beginning of the course for which you are seeking assistance.

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* 1. First and last name

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* 2. Mailing address

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* 3. Phone number

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* 4. Email address

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* 5. Preferred contact

Phone

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* 6. Are you currently an OLLI at MSU member?

Yes

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* 7. Choose one or both:

I am applying for course/program assistance in the amount of (please provide amount and course title(s))

I am applying for membership assistance in the amount of (maximum $23)

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* 8. Please provide a short explanation in support of this application.

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* 9. If you have received an OLLI scholarship in the past, please provide the date.

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