Yale
Office of Undergraduate Financial Aid
Upload: finaid.yale.edu/upload
Fax:
(203) 436-9768
2023–2024 Outside Scholarship/Resource Information
Joshua Li
923354889
Student’s name: _______________________________________ SID or birthdate: ________________
Instructions
You should complete this form to notify Undergraduate Financial Aid of the receipt of an outside scholarship
or resource (such as employer tuition benefits), or to inform us of any changes or new information related to
your outside scholarship(s) or resource(s). When you have completed the form, submit it to the financial aid
office using the information in the form’s header.
Scholarship/Resource Information
I am not receiving any outside scholarships/resources in 2023–2024
I am receiving one or more outside scholarships/resources;
the information below is about (check all that apply):
Name of scholarship
or resource
Awarding
Organization
Amount in
2023–2024
✔
new scholarship/resource
change to a reported scholarship/resource
cancellation of a scholarship/resource
Renewable?
Loprinzi Scholarship Continuing
Funding
$ 5000
Multnomah
Athletic Foundation
$
$
$
Number of
Payments
Check will be
payable to
Yes
2 payments
Yale
No
1 payment
Student
Yes
2 payments
Yale
No
1 payment
Student
Yes
2 payments
Yale
No
1 payment
Student
Yes
2 payments
Yale
No
1 payment
Student
Buckley Amendment
Yes
No
I authorize Yale University to provide any information relating to my financial aid
application to my parent(s)/guardian(s).
07/21/2023
Student’s signature ______________________________________________ Date ______________