Private Contributions State Matching Received and Funds Requested Receipted Scholarship Matching Program $_____________ X 100.00% = $_____________ Other Eligible Uses $_____________ X 66.67% = $_____________ *IMPORTANT – Please be advised of the following when developing your request for 2003- 2004: Unmatched Scholarship Matching Program contributions that you carry forward from 2002-2003 and will be requesting matching funds for in 2003-2004, are for funds receipted and not previously matched. ____________________________________________________________ President Date Please complete and return this form by 5:00 p.m. on August 22, 2002, to Maybelle Montford, Division of Community ...
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