Scholarship Award Follow-up Form

Scholarship Award Follow-up Form

Due by June 30th
Scholarship Release Information

All information must be completed and submitted before June 30th for scholarship checks to be processed and sent to your institution. If not completed by the deadline, checks will be released the following semester.

Scholarships are awarded in two increments: 1/2 is applied to the current/upcoming semester and 1/2 to the following/next semester.

This information will also be used as content on the Nashwauk Area Community Fund website, Grand Rapids Area Community Fund, and/or area newspapers.
Scholarship Amount: $1,000
I understand the scholarship terms:*

YesNo
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Institution Attending*
Major or program enrolled:*
***We will contact you for your student ID at a later time when releasing the scholarship to your attending institution
Institution Address of where to mail check*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Institution Phone Number*
Please enter a valid phone number.
High School Activities Involved:
Volunteer Work:
Jobs:
Hobbies/Interests:
Graduation Picture

Cancelof
Take Photo (use this if you do not have a graduation picture)
Additional Information:
Should be Empty: