Club Scholarship Participation


By submitting this form the Georgia Tech Club agrees to the following:

  • We are responsible for providing the amount listed on this form to award scholarships to incoming Georgia Tech Students who reside within our club's geographic service area.
  • In order to receive the matching funds, we must meet all deadlines laid out in the Club Scholarship Handbook.
  • Our scholarship recipients will be determined by a committee of three or more club members.
  • Club members with family members or other close relations being considered for the scholarship will remove themselves from the selection process.
  • We will award this scholarship based on the criteria of scholarship and leadership. If we wish to consider financial need, we will notify the Alumni Association for assistance.
  • We will notify the Alumni Association and wait for approval before awarding the scholarship to a student who participates on a Georgia Tech athletic team, so as not to jeopardize the student's eligibility for the sport.

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

    Scholarship Participation Information
    Yes, Georgia Tech Club plans to participate in the 2008-09 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 January 7, 2009, your Club Scholarship will not be eligible for matching funds.