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After you print and sign the form, bring the form to the Enrollment Services Office on the first floor of Lynnwood Hall, OR fax the form to 425-640-1159, OR mail the form to: 
Financial Aid Services Office 
Edmonds Community College 
20000 68th Ave W 
Lynnwood, WA 98036 

19-20 Scholarship Disbursement Request – Financial Aid
 Student Name     Last:      First:      M.I.: 
 Student ID Number:    --   Birthdate:  //   MM/DD/YYYY
   Social Security Number: --
 Scholarship Disbursement Information
Scholarship Donor(s):
(Attach Donor Letters if Available)
EDCC Foundation Scholarship Name:
Scholarship Name:
Scholarship Name:
Total Scholarship Award(s):    
I would like to use my scholarship the following quarter(s) for the amount and number of credits I have indicated below:
Summer 2019: # of Credits
Fall 2019: # of Credits
Winter 2020: # of Credits
Spring 2020: # of Credits
 Comments: (Please specify if you have any special circumstances or instructions relating to any of the above scholarships)

characters left 
 Contact Info:
Travis McCullough
Financial Aid Services
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