Scholarship Recipient Acceptance Form - Eau Claire Public Schools Foundation

Name*
First Last
Email*
Cell Phone*
Home Phone
Name of the scholarship(s) you are accepting:*
Please describe your future plans for your education:*
The information will be posted on our website and possibly in the newspaper.
- Check this and your name will remain anonymous.
If applicable please upload your most recent college, official certified transcript.
Verification of Enrollment
Please upload a copy of your registration for the current college semester.*
Copy of registration must be SCHOOL-ISSUED, and must show: credit load, student name, and student ID number. Screenshot of schedule and/or letter of admission are not sufficient. Please contact your school’s Registrar for this verification of enrollment.
Name of the college/postsecondary school you are attending:
School Bursar’s Office Contact Info
Street Address City State ZIP Code
School Bursar’s Office Contact Name
First Last
School Bursar’s Office Contact Phone
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 certified 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 Public Schools Foundation and understand that I must provide them appropriate documentation in order to receive my scholarship.*
- I agree.
- I do not agree.