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Student Requesting Basic Information

Student's Name
Major
Year in School
Email
Phone
Address
The K-State Proud Committee has my permission to contact this person.

3rd Party Information

Reference (include first and last name)
Relationship to Student
E-mail
Phone

Statement of need

Describe your need for a K-State Proud award, and the steps you have taken to accomodate this need.
In 500 words or less.

Proud award amount

Please give an estimated budget of how much money would be required and how it would be used to benefit the student
Describe in 250 words or less.
 

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