Form Test Page

I’ve put all the forms on one page so you can test them. This page will be deleted when testing is done. Please click on a link below to be taken to the form.

Home

Contact Us Form
General Contribution
Golf Registration
Golf Sponsorship
Stormchasers Community Night
Project Wee Care Adopt to Shop
Project Wee Care Financial Support
Project Wee Care Registration (on a different page)
Scholarship Application
Volunteer Signup

Contact Us

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Subject(Required)

Choose department for conditional formating

Comments(Required)

Please let us know what's on your mind. Have a question for us? Ask away.

This field is for validation purposes and should be left unchanged.

Home

General Contribution Form

General Contribution to Millard Business Community Foundation

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Business/Organization (if applicable)

Amount to Donate(Required)

Where Would You Like Your Donation To Go?(Required)

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone

This field is for validation purposes and should be left unchanged.

Home

Golf Registration Form

Golf registration is currently closed.

Home

Golf Sponsorship Form

Golf sponsorship registration is currently closed.

Home

Storm Chasers Form

Registration for this event is currently closed.

Home

Project Wee Care Adopt to Shop Form

Project Wee Care Adopt to Shop

Adopt to Shop for this many children (up to 10)(Required)

Please enter a number from 1 to 10.

Name(Required)

First Last

Email(Required)

Phone(Required)

Business/Organization (if applicable)

Comments or additional information

Name

This field is for validation purposes and should be left unchanged.

Home

Project Wee Care Financial Support Form

Home

Scholarship Application Form

Scholarship Application

School Name(Required)

Name(Required)

First Last

Student ID(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

GPA

PROVIDE YOUR GRADE POINT AVERAGE FOR EACH YEAR

9th Grade(Required)

Please enter a number less than or equal to 4.

10th Grade(Required)

Please enter a number less than or equal to 4.

11th Grade(Required)

Please enter a number less than or equal to 4.

12th Grade(Required)

Please enter a number less than or equal to 4.

Academic Information

How do you plan to finance your first year of college, including expected cost for tuition, books, room and board? Indicate if you have applied for any other scholarships and list the amount of those scholarships. If you have already been awarded scholarships, please indicate those with the amount received.(Required)

List the academic, vocational, and leadership awards you have received during your high school.(Required)

List the extra-curricular activities you have participated in during your high school years.(Required)

Examples may include student government, music, speech, sports, etc.

List your activities in the community and public service during the past five years.(Required)

Examples may include Scouts, Church, 4-H, DECA, FBLA, etc.

Have you been employed while in high school? If so, explain.(Required)

What home/business responsibilities have you had while in high school?(Required)

Describe your aspirations and life goals.(Required)

What do you want to be; how do you plan to accomplish this goal?

Write a One Page Essay describing your experience at your High School.(Required)

Certification(Required)

I certify that the information in this application is true and accurate. I consent to the use of my image on the Millard Business Community Foundation's website if chosen as the recipient of this scholarship.

Instructions

Please mail completed Millard Business Community Foundation Scholarship Application Packet using “Return Receipt Required.” Include everything in one package. Each applicant is required to have two letters of recommendations. They must be signed and included when you return your packet with a deadline of February 1. Mail Packet to Millard Business Community Foundation, 19409 Josephine, Gretna, NE 68028.

Name

This field is for validation purposes and should be left unchanged.

Home

Volunteer Sign-up Form

Home

Contact Us

General Contribution to Millard Business Community Foundation

Project Wee Care Adopt to Shop

Project Wee Care Financial Support

Billing Information

Scholarship Application

GPA

Academic Information

Instructions

Volunteer Signup Form

THANK YOU TO OUR FOUNDATION CORPORATE SPONSORS

Millard Business Community Foundation

Form Test Page

Contact Us

General Contribution to Millard Business Community Foundation

Project Wee Care Adopt to Shop

Project Wee Care Financial Support

Billing Information

Scholarship Application

GPA

Academic Information

Instructions

Volunteer Signup Form

Subscribe to Stay Informed

THANK YOU TO OUR FOUNDATION CORPORATE SPONSORS

Millard Business Community Foundation