Scholarship Recipient Form Scholarship Acceptance Form Name* First Last Email* Cell Phone*Home PhoneName of the scholarship(s) you are accepting: Please describe your future plans for your education in 150 words or less:This information will be posted on our website and possibly in the newspaper.Please upload a senior photo, or another recent photo of yourself, for our website or other publications (optional).Max. file size: 300 MB.Please upload a first or second semester post-secondary transcript if it's required for your scholarship.Accepted file types: pdf, Max. file size: 300 MB.Please upload your proof of enrollment.*Accepted file types: pdf, Max. file size: 300 MB.Name of school you are attending School Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Identification Number Student's Current Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code The Foundation will make a check payable to your college or technical school upon receipt of the documentation required for your scholarship.I accept my scholarship from the Eau Claire Community Foundation and understand that I must provide them appropriate documentation in order to receive my scholarship: I agree I do not agree Your name will not be listed in our publications. I wish to remain anonymous Your name will not be listed in our publications.