Scholarship Recipient Form

Student recipients of a scholarship from a La Crosse Area 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 Megan at (608) 782-3223 ext. 26 or email

  • Please provide the email address you monitor most closely.
  • Street, City, State, Zip Code
  • Accepted file types: jpg, gif, bmp, doc, docx, pdf, Max. file size: 256 MB.
    To find instructions on how to download your unofficial transcript go to your college or university's website, click the search feature, and type "unofficial transcript." We do not require "official" transcripts. Unofficial transcripts should be FREE.
  • We will only contact these individuals if we are unable to reach you directly.