STUDENTS:
PROVIDE THIS FORM TO YOUR DONOR TO MAIL THIS FORM WITH SCHOLARSHIP CHECKS TO:
Texas Tech University
Scholarship Office
PO Box 45011
Lubbock, TX 79409-5011
SCHOLARSHIP DONOR
NAME:
ADDRESS:
CITY, ST, ZIP:
SCHOLARSHIP RECIPIENT
STUDENT NAME:
SSN and/or TTUR#:
DISBURSEMENT (CHECK ONLY ONE)
Fall Only
Spring Only
Fall Award / Spring Award will be mailed at a later date
Fall/Spring (Award split evenly)
Summer Only
If a donor requires proof that you are enrolled for a particular semester, mail a copy of your
registration or billing statement to your donor with this form.
If donor requires a receipt for your scholarship check, please ask them to include a self-addressed
stamped envelope and we will return it when we received your check.
www.scholarships.ttu.edu
Box 45011 | 205 West Hall Lubbock, Texas 79409-5011
Phone: 806.742.3144
scholarships@ttu.edu