Susan Thompson Buffett Foundation

Request for Scholarship to be Placed On Hold

Please submit this form if you need to request that your scholarship be placed On Hold. The Scholarship Committee reviews Hold requests on a case by case basis, and will notify you if your request has been approved.

Please fill in the information below:

Please attach medical documentation.
Please provide due date. [Ex. 6/12/2016] Also attach documentation from a medical provider that confirms the due date.
[Ex. Religious, Family Emergency]. Please indicate:
[You are required to complete this form if you intend to take a leave of absence from classes to complete an internship. If you are enrolling in an internship with credit hours through your primary campus, you do not need to submit this form.]
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