TYCIC — Trust Your Crazy Ideas Challenge

Congratulations, Trust Your Crazy Ideas Challenge Scholarship Winners!

Please use the form below to submit your information to release your scholarship to your chosen post-secondary program. Please note that you MUST claim your scholarship within 1 year of graduating high school.

Student Name

First Name

Last Name

Team Name

Phone

(###)

###

####

Year of Participation

Region

Competition Level (Winnings)

High School Graduation Date

YYYY

Parent/Guardian Name

First Name

Last Name

Parent/ Guardian Email

Parent/Guardian Phone

(###)

###

####

Post Secondary Institution NAME AND TUITION RECEIVING OFFICE

College, Technical School, Training Program. Be sure to include the office to which your scholarship should be mailed (eg Office of the Bursar).

Mailing Address for Tuition Check

Please include the name of the office and the mailing address for that office eg 'Office of the Bursar'

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student ID Number