Scholarship Claim Form - Iowa Biotechnology Association (IowaBio)

Scholarship Claim Form

If you have been awarded a Future Biotech Leaders Fund scholarship, please fill out the form below to claim your scholarship. Any questions can be sent to info@iowabio.org.

Fields marked with an * are required.

First Name *

Last Name *

Email *

Please use your personal email so we may contact you after your school email is no longer valid.

High School Name *

Graduation Year *

Institution Attending *

College Student ID Number

Most institutions required a student ID number to be included with the check.

Please verify that you have checked the “I'm not a robot” checkbox.