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Scholarship Acceptance

Scholarship Acceptance Form

Scholarship Acceptance Form


Merrick Foundation, Inc. is pleased to provide academic scholarships to area students pursuing post-secondary education. All scholarship recipients are required to complete the Scholarship Acceptance Form below in order to redeem your award. Please read all instructions carefully. Congratulations and best wishes with your future education! 2020 Recipients must submit this form by July 15, 2020 in order to receive their scholarship payment. All payments will be sent directly to your school with instructions to divide your award equally among fall 2020 and spring 2021 terms. Please call us at 308-946-3707 or email merrickfoundationcfo@gmail.com with any questions.


First Name
Last Name
Country
Address Line 1
Address Line 2
City
State
Postal Code

** Please upload a copy of your class schedule for the Fall 2020 term. This is a document proving that you are enrolled in fall semester classes. Ensure your name appears on this document, and if possible your student ID as well. If your schedule indicates you are enrolled less than full time we may be in contact with you for additional information. **

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This is the address where your scholarship check will be sent. Each school is different, so please check with your Financial Aid/Bursar's Office regarding where scholarships are to be directed.
Country
Address Line 1
Address Line 2
City
State
Postal Code

** Please upload a copy of the thank you letter that you have sent or will be sending to your donor. Your donor's contact information was included in the packet mailed to you in early June. If you received multiple scholarships, you may be required to write more than one thank you as directed in your packet. **

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Please know this information may be posted on our website, social media, or print publications.

Following a successful submission, you will be taken to a confirmation screen as well as receive a confirmation email. If these two things do not occur, please contact our office to be sure we received your form.

Our Impact

  • Community Grants Awarded

    $222716

  • Scholarships Awarded

    $140425

  • Students Impacted

    175

  • Total Funds Distributed

    $2495053

  • Funds Managed for Others

    $1724532

© 2020 Merrick Foundation

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