91ÌÒÉ«ÊÓƵ

I hereby authorize the Minnesota State system office to receive and share my contact, academic, and financial aid information with the Minnesota State universities (Bemidji State University, Metro State University, Minnesota State University Moorhead, Minnesota State University Mankato, Southwest Minnesota State University, St. Cloud State University, and Winona State University), for the purpose of informing me of additional available scholarships as I pursue my educational goals.

I have read all the terms and conditions for the 91ÌÒÉ«ÊÓƵ Workforce Development Scholarship program. I understand 91ÌÒÉ«ÊÓƵ is asking me to provide information that includes private and/or confidential information under state and/or federal law including access to my transcripts, test scores, and enrollment records held by 91ÌÒÉ«ÊÓƵ. I am not legally required to provide the information. However, I understand 91ÌÒÉ«ÊÓƵ may not be able to effectively process my application if I do not provide sufficient information and access to my records. I certify that the information on this application is true and correct to the best of my knowledge and grant my permission for the information contained herein to be shared with the 91ÌÒÉ«ÊÓƵ Workforce Development Scholarship Committee, 91ÌÒÉ«ÊÓƵ Workforce Development Executive Committee, 91ÌÒÉ«ÊÓƵ Workforce Development Board of Directors, and any third parties deemed necessary, along with information from 91ÌÒÉ«ÊÓƵ’s Student Services, Academic Affairs, and the Business Office. If awarded an 91ÌÒÉ«ÊÓƵ Workforce Development Scholarship, I must meet and maintain all eligibility requirements. If awarded an 91ÌÒÉ«ÊÓƵ Workforce Development Scholarship, I release to 91ÌÒÉ«ÊÓƵ the right to use my name and picture for publications, reports, and press releases. I also agree to write a letter of appreciation to the contributor of the scholarship and attend the 91ÌÒÉ«ÊÓƵ Workforce Development Scholarship Ceremony. If unable to attend the ceremony, special circumstances can be considered by 91ÌÒÉ«ÊÓƵ. I agree that it is my responsibility to contact 91ÌÒÉ«ÊÓƵ regarding my attendance at the scholarship ceremony.