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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!

2021 recipients must submit this form by July 15, 2021 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 2021 and spring 2022 terms. If you will be a fall 2021 graduate, please let us know so we can direct your college to NOT split your scholarship. Please call us at 308-946-3707 or email Courtney at 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 2021 term OR verification of enrollment from your college. These are both documents proving that you are enrolled in fall semester classes. Ensure your name appears on the uploaded 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 provided to you at the Scholarship Awards or mailed in early May if you could not attend the ceremony. 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

    $91,009

  • Scholarships Awarded

    $130,872

  • Donations Received

    $1,516,402

  • Total Funds Distributed

    $928,034

  • Funds Managed for Others

    $2,095,389

© 2021 Merrick Foundation

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