Baraboo Community Scholarship Corporation
Membership Application

Help Baraboo students achieve their educational goals.
Join the Baraboo Community Scholarship Corporation today!

	The Baraboo Community Scholarship Corporation (BCSC) started as a small seed in 1976 and has blossomed into one of the most outstanding local financial aid programs for students in Wisconsin today.

	The BCSC is a not-for-profit organization whose sole purpose is to channel financial aid in the form of scholarships exclusively to Baraboo High School graduates who want to pursue post-secondary educations.  Donated scholarships are administered by BCSC in accordance with criteria established by each donor—an individual or an organization.

	The BCSC is governed by a 16-member board, seven of whom represent community service clubs as well as nine members elected at large.

	Anyone who makes a tax-deductible $25 individual or $50 family donation to BCSC qualifies as a member and is encouraged to get involved.  A small portion of your donation is used to cover incidental administrative costs, while the vast majority is used to fund BCSC scholarships.  If you have any questions about our organization, please feel free to contact barabooscholarships@gmail.com.

	If you would like to join BCSC or continue your current membership, please fill out the form below and return it along with your tax-deductible $25 individual/$50 family contribution to:  BCSC, P.O. Box 380, Baraboo, WI  53913-0380.  Make checks payable to:  BCSC.  Your cancelled check will serve as your tax receipt.

BCSC Membership Enrollment	
Name:       	
Mailing Address:       	
City:       	State:       	Zip:       	
E-Mail:       	Phone:       	

Check all that apply:
  $25 Individual Donation  OR      $ 50 Family Donation  (checks payable to:  BCSC)
  I am donating $_______ to be used for the BCSC Scholarship
  I am interested in serving as a Board Member when an at-large position becomes available
  I am interested in serving as a Community Member on the Scholarship Selection Committee
  I am interested in helping with BCSC community Events

Please return this form along with your tax-deductible donation to:

Baraboo Community Scholarship Corporation
P.O. Box 380
Baraboo, WI  53913-0380