Please don’t fill out this form until you’ve been asked to via email by TMF. We must have your form completely filled out and submitted not later than Monday, June 3rd, 2024.

Checking the box immediately below this paragraph signifies my understanding that TMF tuition awards function as interest-free loans. Checking this box also signifies my acceptance of my obligation to fully repay my tuition award(s), with reliable, monthly repayments starting a few months after I either graduate or discontinue my education. Finally, checking this box signifies my acceptance of my responsibility to make my eventual repayments at a minimum of 1% of the total for amounts of over $5,000, and at a minimum of one-half of 1% for amounts totaling $5,000 and under.

Honorific

My FULL legal name, including full middle name(s)

Please do not use initials or nicknames.

My nickname or preferred first name

My PERMANENT mailing address, city, state and zip

This is your home address, not a school address.

My high school (or district in which I reside or resided while in high school)

If you graduated (or are about to graduate) from a school other than those listed here, no worries. We just need confirmation of the school district where your permanent residence is located.

My school doesn't appear above. My situation:

My high school graduation year

If your graduation year doesn't appear below, please provide it immediately below.

If your high school graduation year doesn't appear above, please provide it in this space.

My personal cell phone number, AREA CODE FIRST

(###)

###

####

My personal email address, which I check daily

Please note that we CANNOT accept email addresses which are associated with your high school or college. This must be a personal email address which you check yourself. If you don't already have one, we suggest getting a GMail email address.

My mother's FULL name, including middle/maiden name

Please don't use initials — provide the FULL name.

My father's FULL name, including middle name

Please don't use initials — provide the FULL name.

FULL NAME of college I'm attending

You must include the branch if applicable (e.g., Kent State University/East Liverpool).

My housing plans for 2023 - 2024 are

To live on campus.

To commute (living at home or in a non-dormitory residence and driving a minimum of 10 miles round-trip each time).

To live off-campus (living at home or in a non-dormitory residence and driving fewer than 10 miles round-trip each time).

Are you receiving any other scholarship funding?

This ONLY refers to scholarships which DO NOT NEED TO BE REPAID. Do not include Pell or Promise grants.

The FULL ANNUAL amount you are receiving from scholarship #1

This must be the amount you are receiving for the ENTIRE 2024 - 2025 academic year.

The full name of scholarship #1 (DO NOT REPORT PELL OR PROMISE!)

Just saying "Rotary" or "Rotary scholarship" isn't enough. "East Liverpool Rotary Club" scholarship would be correct. We need the full scholarship or grant name.

The FULL ANNUAL amount you are receiving from scholarship #2

This must be the amount you are receiving for the ENTIRE 2024 - 2025 academic year.

The full name of scholarship #2 (DO NOT REPORT PELL OR PROMISE!)

Just saying "Rotary" or "Rotary scholarship" isn't enough. "East Liverpool Rotary Club" scholarship would be correct. We need the full scholarship or grant name.

The FULL ANNUAL amount you are receiving from scholarship #3

This must be the amount you are receiving for the ENTIRE 2024 - 2025 academic year.

The full name of scholarship #3 (DO NOT REPORT PELL OR PROMISE!)

Just saying "Rotary" or "Rotary scholarship" isn't enough. "East Liverpool Rotary Club" scholarship would be correct. We need the full scholarship or grant name.

Getting more than three scholarships for the 2024 - 2025 academic year?

My FULL name appears below, which for these purposes is identical to my signature on a paper application

I understand that digitally "signing" this application by typing in my full name is, for all intents and purposes, identical to manually signing a paper application. By inputting my FULL NAME below as a signature, I am asserting that everything in this application follow-up is complete and accurate to the best of my knowledge. I understand that if I provide incomplete or inaccurate information herein, it may result in my application being rejected; my tuition award (if I receive an award) being rescinded, in whole or in part; and/or my being disallowed from applying again in the future.

Dropdown

The school district in which I actually live (or lived when I was still in high school)

Tuition Mission

Tri-State Area Tuition Mission Foundation

Please don’t fill out this form until you’ve been asked to via email by TMF. We must have your form completely filled out and submitted not later than Monday, June 3rd, 2024.