Janey Scholars Program
Request Form
Please mail or e-mail to your mentor and allow a minimum of THREE weeks for
the request to be processed.
Name
Date of request
Description of request
if computer, describe the package you would like, if study abroad or
summer classes, include all relevant materials about the course name,
number of credits (if applicable), cost, etc
How will this request enhance your college experience?
Amount of request
Date needed by
Make check payable to
Send check to
Other Information
This document is available at http://www.tpi.org/resources/janey_scholars_program.aspx
The Janey Scholars Program is funded by an anonymous donor, supported by volunteer mentors, and administered
by The Philanthropic Initiative