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).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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Identification NumberStudent'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 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 agreeI do not agree I wish to remain anonymous Your name will not be listed in our publications.