ADDRESS VERIFICATION – Heyl Scholarships

Heyl Scholars electing to live off campus, must submit proof of address for approval.

Name
First Last
Email
Proof of Address * Required
Drop files here or

Accepted file types: pdf, jpg, png, gif, Max. file size: 5 MB.
Please upload one of the possible items listed to verify your address.
Consent * Required
I agree.
I agree that the Heyl Science Scholarship Fund has the right to verify my address. If the address submitted is not approved, the Heyl Science Scholarship Fund will not provide the scholar with off-campus housing support.
Signature