Lilly Endowment Community Scholars Program

Graduate and Alumni Survey Tool

County:

County that awarded your scholarship

Last Name:

If you have gotten married and your record does not appear, please try your maiden name.

First Name:

Date of Birth:

(mm/dd/yyyy as in 03/25/1990)

I am an alumni of this program or anticipate graduating in the next few months:	Yes
	No

If your record will not appear or you are having technical problems,
please call Peg Miller @ 317-236-6090 ext 237 or email pmiller@icindiana.org