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MMEA Legacy Scholarship

Contact Information

Name of person completing this form:(Required)

Donor Information

Name of Donor(Required)
Address of the Donor of record.
Email for the Donor of record. Enter N/A if the donor does not have email access.
Primary phone number for the Donor of record.
Does the donor wish to remain ananymous?(Required)
Are there multiple donors for this scholarship?

Legacy Scholarship Information

For whom is this scholarship named?(Required)
Please tell us about your Legacy Honoree (150 words or less.)

Recipient Information

Please note: 1) If there are no applicants that meet the provided parameters, the scholarship will be awarded to a qualifying candidate. 2) Donors may not specify a specific recipient to be awarded their scholarship.
Please provide any parameters that you would like to direct the awarding of your scholarship? (i.e. I would like this scholarship to be awarded to a teacher from a rural or urban school. / I would like this scholarship to be awarded to someone from the (...) MMEA district.)


If paying by credit card, please complete the payment information below prior to submitting the information form If paying by check, please submit the information form and submit check payment as outlined on the Legacy Scholarship web page.
Credit Card
Supported Credit Cards: MasterCard, Visa
Expiration Date
Cardholder Name
This field is for validation purposes and should be left unchanged.