Scholarship Information:
Michigan State Representative Rebekah Warren represents the 53rd district, which
consists of almost the entire city of Ann Arbor. After her election to office she created the Envision Michigan
Fund in order to better promote progressive policies, educational opportunities and active citizenship in our state.
Ultimately, she believes that youth provide our greatest hope for the future of Michigan and has founded this
scholarship in an effort to support those young people who want to help lead us to a stronger and more vibrant
tomorrow.
Out of the Envision Michigan Fund, Representative Warren will be awarding a $500 scholarship to two graduating high school seniors
who currently reside in the 53rd district and plan to attend a university, college, technical or trade
school.
In order to nominate a student for this
award, please complete and return this form by
Friday, March 7th. To return the form, you may either send it via email to
rebekahwarren@house.mi.gov or mail it to 234 8th Street, Ann Arbor, MI 48103. If you have any
questions, please call us at 517-373-2577.
Nomination Form:
Please fill out the following information about yourself:
Name: _______________________________________________
Address: _____________________________________________
City: ______________ State: _______ Zip Code: _________
Phone Number: _______________ (H) _______________ (W)
________________ (C)
Please state briefly how you know the student:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please fill out the following information about the student:
Name: ________________________________________________
Address: ______________________________________________
City: ______________ State: _______ Zip Code: _________
Phone Number: _______________ (H) _______________ (C)
Anticipated graduation date: ________________
Current school: _________________________________________
Please state briefly why you would like to nominate this student:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________





