Randolph County Promise Enrollment and Information Forms | Community Foundation of Randolph County

If you prefer to complete a paper form, click here to download the Randolph County Promise enrollment form.

If your child has been previously enrolled in the Randolph County Promise program, please download and complete this Information Update form.

Randolph County Promise Enrollment Information Form

Form for a parent or guardian to enroll a child in Randolph County Promise Early Award Scholarship program by providing information on the child's 529 account.

Indiana 529 Savings Account Details

Date of Enrollment(Required)

Please enter the date that the 529 account was established.

Account Owner's Name(Required)

First Name Middle Initial Last Name

Account Owner's Email Address(Required)

Enter Email Confirm Email

Account Owner's Phone Number(Required)

Account Owner's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Beneficiary's (Child's) Details

Beneficiary's (Child's) Name(Required)

First Name Last Name

Beneficiary's Date of Birth(Required)

Beneficiary's Grade (Current School Year)(Required)

Please select your child's current grade from the dropdown menu.

Beneficiary's Current School(Required)

Please select your child's current school from the dropdown menu.

(Elementary Only) Beneficiary's Current Teacher

Beneficiary's Ugift Number(Required)

How did you hear about Randolph County Promise?