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 (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 or registration for the following semester (whichever is required for your scholarship).
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 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.