Monetary Release Form Southeast

Monetary Release Form for Southeast BizCamp
Without this form, our National Office will not be able to execute payment of scholarships, program stipends, or other monetary awards. Please fill out only the fields that apply.

Type of Payment: Stipend

Name of NFTE Program: BizCamp

Description of Event: The STEM Entrepreneurship BizCamp program is an intensive six-week summer program. Utilizing NFTE’s curriculum, our program activates the students’ entrepreneurial mindset while they learn the fundamentals of entrepreneurship and create and pitch original business plans.

Amount: $300

Award Type: Participant

Student's Full Name:
(as it appears on government issued ID) *This question is required.

SSN:
(Student’s full Social Security Number is required to process payment) *This question is required.

Mailing Address: *This question is required.

Street
Apt/Unit
City
State
Zip Code

Student's Signature: *This question is required.

Clear

Signature of

NFTE Office Use ONLY:

Instruction for NFTE Staff Members: A completed form must accompany all check requests made out to students for the following purposes: (1) competition winner; (2) venture capital; (3) stipend; and (4) other grants. Please note that check requests will not be processed without this form attached.

Source:
NFTE Staff Name: Victor Martinez