Club Scholarship Participation


Please note that all fields with a "" are required.

Scholarship Participation Information
Yes, Georgia Tech Club plans to participate in the 2007-08 Matching Club Scholarship Program.
No, Georgia Tech Club does not plan to participate in the program this year.

Total amount of scholarship dollars (not including matching funds) the club plans to award to local incoming freshmen (if known at this time):

        Total Amount: $

Matching funds are determined after all clubs have turned in their forms.

Club Information
Name of Club:
Club Scholarship Chair:
Preferred Mailing Address:
City:
State:
ZIP:
Home Number: ###-###-####
Work Number: ###-###-####
Fax Number: ###-###-####
Email Address:
Your Scholarship Committee: Please list the members of your selection committee.


PLEASE NOTE: If this form is not received by the Georgia Tech Alumni Association on or before December 14, 2007, your Club Scholarship will not be eligible for matching funds.