Please include other required items with this application.
I authorize O'Briens Aveda Institute to release my financial information and other academic records
to the Manon A. Cote Scholarship review committee for purposes that may be used to determine eligibility
for this scholarship.
I confirm that all of the information I am submitting is accurate.
Please note that this is a REQUEST for us to contact you about receiving a Scholarship. You will either be emailed the full scholarship application or contacted to discuss possibilities. Please be sure your address, phone number and email address are correct.
You may fax this form to (802) 860-0230 or mail to: O'Briens Aveda Institute, 1475 Shelburne Road, South Burlington, VT
05403.