Local Group Scholarship Essay Contest Participation Agreement

We understand that the local group scholarship essay contest is a part of the American Mensa Education & Research Foundation National Scholarship Essay Contest. As such, we understand that the local group portion of the contest must be conducted under the same procedures and rules as the rest of the contest.

We understand that the application forms and essays received locally must be reviewed for compliance with the contest rules, coded as directed by the National Scholarship Co-Chairs, and that all judging conducted locally must be according to the instructions that are provided.

We agree to keep the identities of the winners confidential until we and the winners are notified by the National Scholarship Co-Chair that the contest has been finalized. Revealing the names of any scholarship winner in any way prior to the final announcement will disqualify the applicant from receiving any awards.

We understand that MERF will reimburse the Local Scholarship Chair or the Local Group (depending on how it is organized at the local level) for the expenses of administering the local portion of the contest. The qualified expenses and amount, instructions and reimbursement forms are included in the appropriate instruction packets that will be sent to the Local Scholarship Chair.

Our signatures signify our agreement to abide by all of these conditions. ________________________________________________________________________________

Local Group No. & Name:___________________ Region No.:____

Local Scholarship Chair (please print):_________________________

Address:____________________  Phone: (______) _____________

(Home)_____________________  Fax: (______) _______________

___________________________  Email:______________________

Do you use a P.O. Box for an "Official Scholarship Address" ? YES NO

If so, please put it on the back of this form.

Do you have an assistant or co-chair? YES NO

If so, please include his/her name, address, etc. & signature & date on the back of this form.

LocSec (please print):_______________________________________

_____________________________________     _____________________________________
Local Scholarship Chair’s Signature & Date                          LocSec’s Signature & Date

Download the MS Word Document

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