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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 Sherry at (608) 782-3223 ext. 21 or email sherry@laxcommfoundation.com.

  • Street, City, State, Zip Code
  • Accepted file types: jpg, gif, bmp, doc, docx, pdf, Max. file size: 256 MB.
    For new scholarship recipients, attach enrollment verification of college registration/unofficial transcript or a college class schedule that includes your name, your institution's name, and course load for the current semester. For renewals, also attach your an unofficial college transcript showing final grades from last semester and enrolled courses for the upcoming semester.