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BRCF Online Scholarship Claim Form

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    Thank you for opting to complete your BRCF Scholarship claim form(s) online.  Please THOROUGHLY read all of the instructions listed below:

    1.  If you received more than one BRCF administered scholarship, you MUST complete a claim form for each award.

    2.  All information must be completed in order to process your scholarship.  You will need information listed on the hard copy of the claim form found in your packet to complete the process.

    3.  The deadline to submit your claim form is July 1st.

    4.  This form can be saved and completed at a later time by clicking the save and continue icon at the bottom of any section.  

    5.  If you are required to submit a thank you note or a copy of your student aid report as part of your claim process, please follow the directions for those requirements that were included in your recipient packet.  PLEASE NOTE:  Your scholarship will not be processed until ALL REQUIRED DOCUMENTS are received. To view thank you note instructions, please click HERE. 

    6.  Questions regarding BRCF's Scholarship claim process should be directed to Julie Alvis, Communications & Scholarships Director, at jalvis@blueriverfoundation.com or 317.392.7955 ext. 102.  

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    Please ENTER the NAME of your scholarship as it appears on the claim form included in your recipient packet to complete this section
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    Please ENTER the AMOUNT of your scholarship as it appears on the claim form included in your recipient packet to complete this section
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    Please SELECT from the following list the TYPE of your scholarship as it appears on the claim form included in your recipient packet to complete this section
    • One Time
    • Renewable
    • May Reapply
    • Other
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    Please upload a copy of your most recent transcript; an unofficial transcript or grade report will satisfy this requirement. You may also email or mail a copy to Julie Alvis at jalvis@blueriverfoundation.com or 317.392.7955 ext. 102. For questions regarding this requirement, please contact Julie.
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    If applicable, please list your preferred first name or nickname. 
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    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    Please provide a valid email address that you use on a regular basis. If your email address changes, please be sure to notify BRCF.
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    Please select one of the following options.
    • Recent HS Graduate
    • Current College Student
    • Graduate/Professional Program Student
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    Please provide the name of the high school or program you graduated.
    • Morristown Jr. Sr. High School
    • Shelbyville High School
    • Southwestern High School
    • Triton Central High School
    • Waldron High School
    • Other
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    Please provide the year you graduated high school.
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    Please provide the name of the institution you will be attending during the upcoming academic year
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    Please list your intended major(s).
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    Please provide your student ID number for the school you will be attending this fall. This information must be accurate to ensure your scholarship is correctly applied to your bursar/student account at your school. Scholarship checks are mailed to schools mid-July for those recipients who have claimed their award(s) by July 1st.
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    RECIPIENT CERTIFICATION

    Please read the following conditions regarding your scholarship(s). 

     

    I understand that Blue River Community Foundation Scholarships may be used only at an accredited educational institution. In addition, I understand that the information contained in my application may be shared with the scholarship advisory committees, the Foundation’s Board of Directors and/or the scholarship sponsor. As a scholarship recipient, Blue River Community Foundation has my permission to use my name, photograph and any general, non-financial information included in this application for publicity purposes.


    I understand that my behavior and conduct, both in the classroom and elsewhere, were important to my selection as a BRCF Scholar. I understand that my character and conduct at any time prior to and after the selection process may impact my eligibility to become or remain a BRCF Scholar. I understand that I represent the Blue River Community Foundation, and therefore, I am expected to maintain high standards of conduct in accordance with state and federal laws. I further understand that failure to do so may result in termination of any scholarship(s).


    I authorize school personnel and/or other individuals to provide data or information about me, as a part of this application, directly to Blue River Community Foundation including, but not limited to, my academic, disciplinary, and extra-curricular activities, and I waive the right to review any such submissions. (You may amend or rescind this authorization statement at any time by submitting a written request of such to the Foundation.)


    I hereby certify that the information I provided on my scholarship application is accurate and complete to the best of my knowledge. (Falsification of information may result in disqualification and/or termination of any scholarship granted.)


    I understand that scholarship funds are paid directly to my educational institution and are to only be used for qualified educational expenses.

    Awards less than $10,000 are paid annually in August. Larger awards may be disbursed over semesters. I understand that unused, award funds are refunded directly to Blue River Community Foundation for the following reasons: not enrolled for the current academic term, withdrawing from classes at any point during the school year, dismissed from my institution for any reason, and if my total cost of tuition and required fees have been met by other gift aid.

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    I acknowledge that I have read, reviewed, understand, and agree to the terms and conditions as listed above in the recipient certification section and the information I have provided is accurate to the best of my knowledge. I also understand that my scholarship will not be processed until I have submitted my thank you note and any additional required documentation.
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    AGE REQUIREMENT

    Due to the fact you are NOT 18 years of age or older, a parent/guardian is also required to sign your claim form due to certification requirements.  Please contact Julie Alvis at jalvis@blueriverfoundation.com or 317.392.7955 ext. 102 with any questions. 

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    I acknowledge that I have read, reviewed, understand, and agree to the terms and conditions as listed above in the recipient certification section and the information I have provided is accurate to the best of my knowledge.
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