The Inver Change-Maker Scholarship

The Inver Change-Maker Scholarship recognizes that our new students have the passion and potential to change the world, starting NOW. This competitive scholarship gives students the financial support they need as they develop a service or research project that will help Inver and our surrounding communities as we work for positive social change. Service and project essay submissions of less than 500 words are due December 20th.

Please complete the following form

Fields marked with an asterisk (*) are required.

First Name:*

 

Last Name:*

 

Address:*

 

City, State, and Zip code:*

,      

Email:*

 

Star ID:*

 

Are you currently in high school?

 

Allows maximum 500 words

 

Photograph and Video Consent Release

Please sign the form below giving IHCC permission to use your photo and narrative in our marketing materials. Individuals under 18 will need a signature from their parent or legal guardian.

Are you 18 years or older?  

I hereby give permission to Inver Hills Community College to use my name and image through photo and video in all forms and media for marketing, advertising, trade, and any other lawful purposes.

 

Parent/Guardian Name:*

 
 

Parent/Guardian Phone:*

 

I hereby give permission to Inver Hills Community College to use my name and image through photo and video in all forms and media for marketing, advertising, trade, and any other lawful purposes.

READ BEFORE PROCEEDING:

I hereby give Minnesota State Colleges and Universities, and its successors and assignees, the right to use, reproduce and distribute photography and/or videography in which I appear for educational, publication or marketing purposes without any compesation to me.

I understand that Minnesota State Colleges and Universities shall have total and exclusive control over the use of phography and videography in which I appear, and I waive any right to inspect or approve any proposed publication in any medium. I hereby release Minnesota State Colleges and Universities and its successors and assignees from any liability by virtue of my photograph and/or video.

I state that I am at least 18 years of age and am competent to contract in my name. (If not at least 18, must have the signature of a parent or guardian.)

* By checking the box, you, the student's parent or guardian, confirm that you have read and understand the above.  

Date:*