QLI Scholarship Payment Request

Name(Required)

First Last

Personal Email(Required)

School Email(Required)

High School Name(Required)

QLI Winning Year(Required)

College Name(Required)

Number of Semesters Remaining(Required)

Financial Aid Office Address(Required)

Bursar Bill Upload(Required)

Please upload your bursar's bill for the semester you are requesting payment. The document must include your full name, student ID, and show an actual amount due to your university. If the bill lists an "estimated amount" or shows no balance due, W!se will not be able to process payment to your university.

Drop files here or

Max. file size: 128 MB.

Please upload your class schedule.(Required)

Students, your class schedule must match your student ID as well as the date on your Bursar's bill.

Max. file size: 128 MB.