KSU Foundation
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Student Foundation
> Self-Nominee form
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Student Requesting Basic Information
Student's Name
Major
Year in School
-Select-
Freshman
Sophomore
Junior
Senior
5th year
Email
Phone
Address
The K-State Proud Committee has my permission to contact this person.
-Select-
Yes
No
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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