I, , certify that the information provided herein, and on the accompanying documents are true and correct to the best of my knowledge. If requested by the Scholarship Selection Committee, I agree to give proof of the information I have provided. I realize that this proof may include a copy of my most recent Federal and NYS income tax returns and/or that of my parents/guardians.
I, , am applying for a scholarship from The Varflex Educational
Foundation II Scholarship Program. I hereby request and authorize the appropriate school official to certify my attendance and current academic standing at and provide the Scholarship Committee with information as requested below.