Scholarship Recipient Information Form

The Rural Riley County Community Foundation is proud to congratulate this year’s scholarship recipient. This scholarship reflects the foundation’s commitment to supporting students who demonstrate dedication to their education, leadership, and the future of rural communities. Through the generosity of local donors, scholarships like this help open doors to continued learning and opportunity. We congratulate this year’s recipient and wish them great success in the next chapter of their educational journey.

Student Information

First Name This field is required

Last Name This field is required

Address This field is required

Email Address This field is required Invalid Format

Phone Number Invalid Format

Scholarship Information

Scholarship Title (please list all RRCCF scholarships awarded to you) This field is required

Major Area of Study This field is required

Student ID or Last Four Digits of Social Security Number This field is required

Name of School

School Financial Aid Office Address (Street Address, City, State, and Zip) This field is required

Attach a copy of your semester schedule as proof of enrollment. This field is required

Information Release: I hereby allow the Rural Riley County Community Foundation to release my name, information about the scholarship(s) I have received, and other pertinent information to the local media, to Foundation donors, and I allow the Foundation to use this information in internal marketing documents without any expectation of compensation. This field is required

Please note a portion of your award may be taxable if the total amount of funds you receive exceeds the total cost of tuition and course-related expenses (i.e. fees, books, supplies and equipment required of all students.) Amounts received for room, board or travel will be subject to tax. Please consult with your tax advisor on these issues.