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Scholarship Information Release

Congratulations! At the University of South Dakota, we are proud to provide the scholarship support outlined in your letter. To help us recognize your accomplishments, please submit it the following form.

All University of South Dakota students who accept scholarship assistance and awards are asked to release personal directory and educational information. Such information could include your intended major, hometown and information related to the scholarship(s) received.

The Family Educational Rights and Privacy Act (FERPA) requires student consent to disclose personal and educational information. In order to provide your hometown newspaper the required information to publicize your award, we are asking that you agree to the terms of this Scholarship Information Release.

First Name

Last Name

USD ID Number

Release Authorization

Yes

By checking YES, I authorize the University of South Dakota to use my name, directory information and photograph for publicity purposes in a manner consistent with USD policies. This consent will remain in effect until revoked in writing or by electronic authorization.

Your name as you wish it to appear in publicity

Hometown

Name of Hometown Newspaper

Parent names

Parent Email

Photo Submission

Yes

If "Yes", please email a current head shot to scholarships@usd.edu or update at a later date.

Complete this form by emailing your photo to scholarships@usd.edu