HIGH SCHOOL SCHOLARSHIP AUTHORIZATION CONSENT


Dear Applicant:

The Brandon Lee Brinkley Foundation, Inc., would like to take the opportunity to thank you for your submission of the project on “How has the presence of Gun Violence affected you?” and/or “What is your Gun Violence Reality?”  We appreciate your effort and will contact you soon.

 

Sincerely,

Robin Brinkley White, President


Privacy Statement:

Projects submitted and supporting your personal application in this competition will remain active during the scholarship period and retained thereafter.  Your records are confidential and available for reference.

Authorization/Certification Consent

​Please review your project and sign your name below.  If you are 18 years of age, please have your parent/guardian sign as well. 

 

I hereby certify that all information entered on this form is accurate and true to the best of my knowledge.  I understand that false information will result in disqualification from the competition.  By signing and submitting this form, you expressly consent to permit BLBF, Inc., has sole rights to your project thereafter.