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Scholarship Acceptance Form

Scholarship Acceptance Form

Merrick Foundation 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!

2025 recipients must submit this form by Tuesday, July 15, 2025 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 2025 and spring 2026 terms.  Please note that if you do not submit your form by July 15, payment to your college may be delayed.  If you will be a fall 2025 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 Rachel at merrickfoundationpm@gmail.com with any questions.

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

** Please upload a copy of your class schedule for the Fall 2025 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. **

No file selected
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/Province *
Postal Code *
Do you have plans to transfer colleges mid-semester or graduate mid-semester? If you answer yes, please describe your plans in the box below. We may contact you for additional information.

** 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 late April 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 Over 12 Months

  • Community Grants Awarded

    $183,222

  • Scholarships Awarded

    $169,800

  • Students Awarded

    179

  • Donations Received

    $581,694

  • Number of Funds

    235

© 2025 Merrick Foundation
Privacy Policy

Privacy Policy

  1. What Information Do We Collect? When you visit our website you may provide us with two types of information: personal information you knowingly choose to disclose that is collected on an individual basis and website use information collected on an aggregate basis as you and others browse our website.
  2. Personal Information You Choose to Provide We may request that you voluntarily supply us with personal information, including your email address, postal address, home or work telephone number and other personal information for such purposes as correspondence, placing an order, requesting an estimate, or participating in online surveys. If you choose to correspond with us through email, we may retain the content of your email messages together with your email address and our responses. We provide the same protections for these electronic communications that we employ in the maintenance of information received by mail and telephone.
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  9. How Do We Protect Your Information? Information Security -- We utilize encryption/security software to safeguard the confidentiality of personal information we collect from unauthorized access or disclosure and accidental loss, alteration or destruction. Evaluation of Information Protection Practices -- Periodically, our operations and business practices are reviewed for compliance with organization policies and procedures governing the security, confidentiality and quality of our information. Employee Access, Training and Expectations -- Our organization values, ethical standards, policies and practices are committed to the protection of user information. In general, our business practices limit employee access to confidential information, and limit the use and disclosure of such information to authorized persons, processes and transactions.
  10. How Can You Access and Correct Your Information? You may request access to all your personally identifiable information that we collect online and maintain in our database by emailing us using the contact form provided to you within the site structure of our website.
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Terms & Conditions

Terms & Conditions

Donation Refund Policy

We are grateful for your donation and support of our organization. If you have made an error in making your donation or change your mind about contributing to our organization please contact us. Refunds are returned using the original method of payment. If you made your donation by credit card, your refund will be credited to that same credit card.

Automated Recurring Donation Cancellation

Ongoing support is important to enabling projects to continue their work, so we encourage donors to continue to contribute to projects over time. But if you must cancel your recurring donation, please notify us.

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