Mines - Legacy Grant Application Form

Legacy Grant Application Form

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Children or grandchildren of alumni who are freshman and seniors may be eligible for a Legacy Grant from the Colorado School of Mines Alumni Association. The parent or grandparent needs to have been a member of CSMAA for five consecutive years at time of application. Grants will be awarded on November 12; the deadline for application is October 1.

Person Submitting Form Information:

First Name:

Middle Name:

Last Name:

p email address:

Student's Information:

Student's First Name:

Student's Middle Name:

Student's Last Name:

Student's Email Address:

Student Phone Number:

Campus Wide ID:

Class year status:

Date you started at Mines: (yyyy-mm-dd)

Anticipated graduation date:

Name of Mines graduate parent(s):

Parent Name:

Parent Class Year:

Parent Email Address:

Parent Name:

Parent Class Year:

Parent Email Address:

Name of Mines graduate gradparent(s):

Grandparent Name:

Grandparent Class Year:

Grandparent Phone Number:

Grandparent Email Address:

Grandparent Name:

Grandparent Class Year:

Grandparent Phone Number:

Grandparent Email Address: