Scholarship Recipient Form

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Congratulations on being selected as a recipient of Central California Blood Center’s Scholarship! Your scholarship will be held by CCBC and paid directly to the college, university or other learning establishment that you choose to attend. The scholarship payment will be mailed and credited toward tuition costs associated with your post-graduate education. Please indicate your anticipated school start date in this form. Scholarship dollars cannot be given in any form of cash, are not redeemable for cash and cannot be transferred to another individual.

Personal Information

Full Name(Required)
(This helps ensure the scholarship amount is applied to the correct student when funds are sent to the secondary institution.)

Scholarship Fulfillment Information

(This is the name of the person we can send the check to at the Financial Aid Office.)
DD slash MM slash YYYY

Other Questions

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