2026-2027 Scholarship Distribution Form

2026-2027 Scholarship Distribution Form

This form must be submitted to the community foundation by December 31, 2026
Congratulations on being awarded a scholarship through the Midland, Clare or Gladwin Community Foundation!

In order to arrange payment of the scholarship, please fill in the information below. Once received, we can issue a check to your school. A copy of the transmittal letter will be sent to you at the home address you provide below.
Name of Scholarship*
Additional Scholarship
Additional Scholarship
Additional Scholarship
Additional Scholarship
Your Name*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Mobile Number
Format: (000) 000-0000.
College/University Student ID*
College or University*
College, University, or Institution Address (this is where scholarship payment will be mailed)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tuition Due Date*
In a couple sentences tell us what receiving this scholarship means to you?
YesNo
YesNo
If yes, how many people will be attending? (ex: you + 2 parents = 3 guests)
If you RSVP here, you do not need to call/email the Community Foundation
What is your planned major?
By clicking "send" below, I authorize and request the community foundation to mail or otherwise transmit to the college or university identified above my student ID number and my social security number if it is used as my student ID number.
Should be Empty: