Scholarship Recipient Form

Name*
First Last
Email*
Cell Phone*
Home Phone
Name 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).
Max. file size: 300 MB.
Please upload your transcript.
Accepted file types: pdf, Max. file size: 300 MB.
Please upload a copy of your registration for the following semester.
Accepted file types: pdf, Max. file size: 300 MB.
Name of school you are attending
School Address
Street Address City State ZIP Code
Student Identification Number
Student's Current Address
Street Address City State ZIP Code
The Foundation will make a check payable to your college or technical school upon receipt of a transcript of your grades following a successful completion of semester(s) and proof of registration for the next semester.
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.