Scholarship Reinstatement Request

Please complete the following form to request a (currently deferred) scholarship to be reinstated.

Student ID #

First Name

Last Name

Birthdate

Email Address

Semester scholarship was originally awarded:

Semester to reinstate scholarship - return to EAC:

By submitting this request, I acknowledge that scholarship guidelines and funding are subject to change each year. I also understand there is a possibility the scholarship offered awarded upon my return could be different than my original award.