Scholarship Request Scholarship Request All information that is requested in the form is required by the Miss America Foundation to process your scholarship request. We do not use or sell this data in any way, to any party. IDENTITY INFORMATION Your full legal name * Email * Phone * Your mailing address (include your city, ST and Zipcode) * Date of Birth * Last 4 digits of your social security number * XXX-XX- Ethnicity * EDUCATION INFORMATION High School (Most recent one attended or "Home-schooled") * Graduation Year * Undergraduate School (N/A if this doesn't apply) * Degree earned/pursuing (N/A if this doesn't apply) * Graduation Year (N/A if this doesn't apply) * Graduate School (N/A if this doesn't apply) * Degree earned/pursuing (N/A if this doesn't apply) * Graduation Year (N/A if this doesn't apply) * Upload a copy of your transcript. This must be a PDF, it can be official or unofficial, and it is required regardless of what you are using your scholarships for. * Drop a file here or click to upload Choose File Maximum file size: 516MB SCHOLARSHIP INFORMATION First, select from the drop down the organization you are requesting funds from. Then, list the scholarship you earned, the year you won them, and their value (ex: Miss Congeniality, 2021, $100). Finally, enter the amount of the funds you are requesting. If requesting funds from the state organization, you will need a letter from each local organization you earned scholarship money with, stating that you have used all of the funds you earned from their organization. Which organization are you requesting funds from? * Miss New York Scholarship OrganizationMiss Thousand Islands (Adirondack, Thousand Islands)Miss Buffalo (Buffalo, Greater Niagara, Niagara, Flower City)Miss Finger Lakes (Finger Lakes, Upstate New York)Miss Five Boroughs (Greater New York, Broadway, City of New York, Gotham, Big Apple)Miss Fulton County (Fulton County, Montgomery County)Miss Manhattan (Manhattan, Times Square, Wall Street, Empire, Liberty)Miss Queens (Queens, Metropolitan, Five Boroughs)Miss Staten Island (Staten Island, Richmond County)Miss Syracuse (Central New York, Syracuse)Greater New York (Greater New York, Hudson Valley, Pride of New York) Are you requesting any scholarship that are more than 1 season old? (Awarded prior to July 1, 2022) * Yes No Upload Extension Request * Drop a file here or click to upload Choose File Maximum file size: 516MB List the scholarships you earned * How much are you requesting? * $ Upload Letter of Exhausted Funds * Drop a file here or click to upload Choose File Maximum file size: 516MB Request funds from a second organization? Yes No Which organization are you requesting funds from? * Miss New York Scholarship OrganizationMiss Thousand Islands (Adirondack, Thousand Islands)Miss Buffalo (Buffalo, Greater Niagara, Niagara, Flower City)Miss Finger Lakes (Finger Lakes, Upstate New York)Miss Five Boroughs (Greater New York, Broadway, City of New York, Gotham, Big Apple)Miss Fulton County (Fulton County, Montgomery County)Miss Manhattan (Manhattan, Times Square, Wall Street, Empire, Liberty)Miss Queens (Queens, Metropolitan, Five Boroughs)Miss Staten Island (Staten Island, Richmond County)Miss Syracuse (Central New York, Syracuse)Greater New York (Greater New York, Hudson Valley, Pride of New York) Are you requesting any scholarship that are more than 1 season old? (Awarded prior to July 1, 2022) * Yes No File Upload * Drop a file here or click to upload Choose File Maximum file size: 516MB List the scholarships you earned * How much are you requesting? * $ Upload Letter of Exhausted Funds * Drop a file here or click to upload Choose File Maximum file size: 516MB Request funds from a third organization? Yes No Which organization are you requesting funds from? * Miss New York Scholarship OrganizationMiss Thousand Islands (Adirondack, Thousand Islands)Miss Buffalo (Buffalo, Greater Niagara, Niagara, Flower City)Miss Finger Lakes (Finger Lakes, Upstate New York)Miss Five Boroughs (Greater New York, Broadway, City of New York, Gotham, Big Apple)Miss Fulton County (Fulton County, Montgomery County)Miss Manhattan (Manhattan, Times Square, Wall Street, Empire, Liberty)Miss Queens (Queens, Metropolitan, Five Boroughs)Miss Staten Island (Staten Island, Richmond County)Miss Syracuse (Central New York, Syracuse)Greater New York (Greater New York, Hudson Valley, Pride of New York) Are you requesting any scholarship that are more than 1 season old? (Awarded prior to July 1, 2022) * Yes No File Upload * Drop a file here or click to upload Choose File Maximum file size: 516MB List the scholarships you earned * How much are you requesting? * $ Upload Letter of Exhausted Funds * Drop a file here or click to upload Choose File Maximum file size: 516MB Request funds from a fourth organization? * Yes No Which organization are you requesting funds from? * Miss New York Scholarship OrganizationMiss Thousand Islands (Adirondack, Thousand Islands)Miss Buffalo (Buffalo, Greater Niagara, Niagara, Flower City)Miss Finger Lakes (Finger Lakes, Upstate New York)Miss Five Boroughs (Greater New York, Broadway, City of New York, Gotham, Big Apple)Miss Fulton County (Fulton County, Montgomery County)Miss Manhattan (Manhattan, Times Square, Wall Street, Empire, Liberty)Miss Queens (Queens, Metropolitan, Five Boroughs)Miss Staten Island (Staten Island, Richmond County)Miss Syracuse (Central New York, Syracuse)Greater New York (Greater New York, Hudson Valley, Pride of New York) Are you requesting any scholarship that are more than 1 season old? (Awarded prior to July 1, 2022) * Yes No File Upload * Drop a file here or click to upload Choose File Maximum file size: 516MB List the scholarships you earned * How much are you requesting * $ Upload Letter of Exhausted Funds * Drop a file here or click to upload Choose File Maximum file size: 516MB REQUEST DOCUMENTATION What are you using your scholarship funds for? Active Tuition / On-Campus Room & Board Student Loans (If course work is complete) Academic Expenses / Course Materials TUITION You must submit a copy of a current bill from your institution to use funds for active tuition or on-campus room and board. The bill must be a PDF and must include the following information: Active Tuition Your Name Address for payment No older than 30 days Room & Board Your Name Address for payment No older than 30 days Indication you are a full-time student Indication that you live in student housing Student ID# / Account # * Address for tuition payment (include City, ST and Zipcode) * Amount requested for tuition / room & board $ Upload a Bill for Tuition / Room & Board (must be a pdf) * Drop a file here or click to upload Choose File Maximum file size: 516MB STUDENT LOANS You must provide copies of the following documentation to use your scholarships for student loans Proof that coursework is complete - this can be a copy of your degree or a copy of your transcript with your graduation date A promissory note indicating that you are the primary payer on your student loans. This can be found online in your student loan account documents A copy of your most recent bill, which must include the following Your name Your account number The balance due (cannot be less than the amount requested) No older than 30 days Name of your loan institution * Account # * Address for loan payment (include the city, ST and Zipcode) * Amount requested for student loans * $ Proof of completed course work * Drop a file here or click to upload Choose File Maximum file size: 516MB Promissory Note * Drop a file here or click to upload Choose File Maximum file size: 516MB Bill for student loans * Drop a file here or click to upload Choose File Maximum file size: 516MB ACADEMIC EXPENSES You must provide copies of the following documentation to use your scholarships for Academic expenses A copy of your course syllabus or a letter from a program administrator on school letterhead listing the books or equipment as required. Use of scholarship funding for technology and equipment is limited to $2,000. An itemized receipt no more than 60 days old. Only the items on the receipt which fit the above requirements and Miss America Guidelines for Scholarship Use will be reimbursed. Description of the academic expense * Amount requested for academic expenses * $ Upload course syllabus or letter * Drop a file here or click to upload Choose File Maximum file size: 516MB Upload Itemized Receipt * Drop a file here or click to upload Choose File Maximum file size: 516MB If you are human, leave this field blank. Submit