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Keith West Memorial Fund Claim Request Form

Graduated high school students who have been awarded a scholarship through the Keith West Memorial Fund can use this form to submit proof of enrollment and request disbursement of scholarship funds. Scholarship funds will be sent to the registrar.

  • Proof of college enrollment is required for scholarship disbursement. If you will graduate in 2023 or beyond, please complete this form closer to your graduation date.

  • Proof of enrollment should include student name and name of institution.
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    Max. file size: 98 MB.