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This form should be completed by financial aid office personnel. Please complete this form for the academic year for which the student is applying.
This information must be received by April 30 to be eligible for consideration for the scholarship.
A printable PDF version of this form can be returned via email to gatesscholars@ohio.edu , or via postal mail at The Ohio University Foundation c/o The Gates Foundation Ross County Scholar’s Fund, PO Box 869, Athens, OH 45701.