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).
Please upload your transcript.
Accepted file types: pdf.
Please upload a copy of your registration for the following semester.
Accepted file types: pdf.
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
- I wish to remain anonymous
Your name will not be listed in our publications.