Lilly Scholar Report Forms

Among other requirements of the Lilly Endowment Community Scholarship Program, each scholarship recipient must maintain regular contact with his or her community foundation throughout the four years of college enrollment.  The timely submission of the Contact Information Form and other required reports is an essential part of the scholarship program.

Contact Information Form  (for 2009 to 2012 LECS Recipients)
2013 and later recipients must use the Contact Information Form in their scholarship account.

The Contact Information Form must be completed and submitted with your tuition statement and grade report each semester (or quarter for Rose-Hulman students).  This form is provided below:

Contact Information Form

Year-end Reporting  (for 2009 to 2012 LECS Recipients)
2013 and later recipients must use the Annual Activity Report Form in their scholarship account.

The Annual Activity Report Form must be completed and submitted online by June 1 each year.  Your Book Stipend Report Form (including original receipts) and official grade transcript must be mailed or delivered to arrive in the Community Foundation Alliance office by June 1 of each year.  The forms are provided below:

Annual Activity Report Form 

Book Stipend Report Form (Microsoft Word document)

Study Abroad Programs
Lilly Endowment Community Scholars wishing to study off-campus, including overseas study programs, are required to submit the Study Abroad Eligibility Form to Independent Colleges of Indiana at least one semester prior to signing any contracts or paying required deposits.  To determine whether an off-campus or study abroad program will be eligible under the Lilly Endowment Community Scholarship, scholarship recipients must complete and submit the following form:

Study Abroad Eligibility Form (Microsoft Word document)

Gibson County Community Foundation
127 N. Hart Street • Princeton, Indiana 47670
Phone: 812.386.8082