Church Matching Scholarship Deadline Extension Appeal

Church Request Information

Required fields are marked with an *

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Student Information
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Student Name (First, MI, Last) Student ID
Extension Information

Semester extension requested (choose all that apply):
NOTE: ALL funds must be received within 90 days of semester due date
* Reason for extension request (check all that apply):

By submitting this form, I understand without full payment, my student(s) will not receive the IWU matching funds and may be responsible for the outstanding balance until paid in full.