WROF Scholarship Recipient Information Form

  • MM slash DD slash YYYY
    Congratulations on receiving a scholarship or support from the Wisconsin Rural Opportunities Foundation, Inc.! Our mission is to foster vitality in rural Wisconsin by investing in you! Thank you for creating bright futures for generations to come in rural Wisconsin. If you have any questions about this form, please contact Marcy Heim, Executive Director at marcy@marcyheim.com.
  • Enter your first name.
  • Enter your middle initial.
  • Enter your last name.
  • Enter your current street address.
  • Enter the city where you currently live.
  • Enter the state where you currently live.
  • Enter the zip code where you currently live.
  • If different from your current address, enter your permanent street address. If it is the same as your current address, enter "same."
  • Enter the city where your permanent address is. If it is the same as your current city, enter "same."
  • Enter the state where your permanent address is. If is the same as your current address, enter "same."
  • Enter the zip code where your permanent address is. If it is the same as your current address, enter "same."
  • Enter the college/university you are attending (i.e. UW-Stevens Point, Edgewood College)
  • Enter the college or program where you are pursuing your degree (i.e. College of Nursing, Farm & Industry Short Courses, and School of Veterinary Medicine)
  • Enter high school(s) attended and the city, state where located