Scholarship Recipient Form - La Crosse Community Foundation

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La Crosse Community Foundation > Apply for Funding > Scholarship Recipient Form

Student recipients of a scholarship from a La Crosse Community Foundation scholarship fund must complete and submit this form to confirm a scholarship award and provide the information needed for payment purposes. This form is for new and renewing scholarships only.

Questions? Call Stephanie at (608) 782-3223 ext. 24 or email stephanie@laxcommfoundation.com.

Name:*
College Student ID#:*
Scholarship Received:*
Email:*
Phone Number:*
Parent's Email:*
High School Attended:*
College or University Attending:*
Upcoming Year in School:
- Freshman
- Sophomore
- Junior
- Senior
School/University Address:*
City:*
State:*
Zip Code:*
Your Major:*
Transcript/Schedule/Grades:*
Accepted file types: jpg, gif, bmp, doc, docx, pdf.
For new scholarship recipients, attach proof of college registration or a college class schedule. For renewals, attach your college transcript with final grades.
I understand that if I change my major or drop out of school or do anything that changes my status as a student at the above named school, college, or university in the major indicated, I will notify La Crosse Community Foundation immediately.*
- I understand.