Scholarships Acceptance Form

Scholarship Award Acceptance Form

Lane Co. Community Foundation

Dear Scholarship Recipient,

Congratulations on winning a scholarship! Your hard work and dedication have paid off. We look forward to watching your efforts continue as you pursue the next phase of your life.

📅 Please return this form by JULY 1ST, 2026

Scholarship Information

Scholarship Received *

Your Information

Your Full Name *

Email *

Home Mailing Address *

Phone *

Student ID Number *

School Information

Name of School Attending *

Financial Aid Office Mailing Address *

I certify that the information provided is accurate and I accept this scholarship award. I understand that the scholarship funds will be sent directly to my school's Financial Aid Office.

Questions? Contact us at lanecountycf@outlook.com or call (620) 262-9495

200 E. Long St, PO Box 450, Dighton, KS 67839