Tech Prep Scholarship Appeal Form

Name:  _____________________________________________________

Email: ______________________________________________________

Tartan ID:  __________________________        Grad Year:  _________

High School/Career Center: ____________________________________

High School/Career Center Program:  ___________________________

Student Signature                                                                            Date

Type of Appeal
o	Scholarship Funds Extension
o	Other

Documentation Attached?
o	Yes
o	No

Rationale detailing extenuating circumstances: