Please complete the information below and click SUBMIT.
*First Name:  
*Last Name:  
*Phone Number:  
*University Name:  
*Enter Drawing for:  
Submission must be received prior to 6:00 p.m. MST, February 21, 2018.
​Official drawing will be held Thursday, February 22, 2018.
Winners will be announced via Facebook Live and will be contacted by an
​Altius representative to confirm receipt of scholarship award.