Big Thompson Canyon Flood Memorial, Inc. PO Box 144 Drake, CO 80515 Phone/Fax: 970-667-6465 SCHOLARSHIP PROGRAM
(Must be 25 years of age or younger)
This program is intended for the grandchildren/great grandchildren of those who lost their lives in the Big Thompson Flood of “1976”. Scholarships will be granted in the order they are received and when funds are available. Applicants must be currently accepted to or attending college. Scholarships will be paid directly to the college. If the applicant transfers to another college, funds may be transferred. If the applicant drops out of college, any remaining funds may be returned to B.T.C.F.M Inc. All scholarships will be awarded at the discretion and approval of the Big Thompson Canyon Flood Memorial Board.
Name of Grandchild/Great Grandchild: (circle relationship to victim) Address Phone No: Birth date:
__________________________________________________________________ _________________ Email Address: ___________ Name of Flood Victim: ______________________________ ______________________________ ______________________________
Name of College (accepted to or currently attending): Years Attended: _______
Years Remaining: _______ Major: ________________________ __________________________________________
How would this scholarship benefit you?
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
_________________________ Signature of Applicant
May we never forget