Scholarship Acceptance - HACEMOS Scholarship Website

2026 HACEMOS Scholarship Acceptance Form

To ensure you receive your scholarship award promptly, please complete the following form by Monday, June 29, 2026, at 11:59 PM PST.

In this form, you’ll need to indicate whether you accept or decline the scholarship. If you choose to accept, you’ll be asked to provide additional details such as your university / college information, home mailing address, a headshot photo, and a brief testimonial.

Will you be Accepting or Declining Scholarship? *

Scholarship Recipient Information

First Name *

Last Name *

Email *

Phone *

University / College Information

University / College Name *

Enter name of University / College you are enrolled in for 2026-2027 school year

University / College Financial Aid Office Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

University / College Type

Student ID Number *

Intended Major or Area of Study *

Intended Minor or 2nd Major

Expected Graduation Date (Month/Year) *

Scholarship Check Information

Student Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Check Expiration Understanding *

Mailing Address Understanding *

Recipient Information

Headshot Photo *

Drop your file here or click here to upload You can upload up to 1 files.

Testimonial *

Are you a Dependent of an HACEMOS member or HACEMOS retiree? *

HACEMOS Member Name *

HACEMOS Member Email *

HACEMOS Chapter *

ATTUID *

Have you won this HACEMOS Scholarship before? *

Are you the first in your family to attend University / College? *

How did you hear about this Scholarship? *

Please tell us where you heard about the program

Sharing of Scholarship Results *

Message

HACEMOS ACADEMIC SCHOLARSHIP

2026 HACEMOS Scholarship Acceptance Form

Scholarship Recipient Information

University / College Information

Scholarship Check Information

Recipient Information

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