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 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Identification Number Student's Current Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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.