2026 Scholarship Reception registration

Registrant name

First nameLast name

Student ID No.

Preferred email address

Preferred phone number

Thank you for the invitation, I will...

I am a...

Donors: Please include the scholarship name.

Home address

Street address line 2

City

State

Postal / ZIP Code

Please note that space will be limited to accommodate all donors and scholarship recipients. If you would prefer to bring a guest, please indicate their name:

Guest's full name

Photos will be taken at this event and may be shared on the Sandburg website or through social media. By attending the event, you consent to having your photo or your guests' photo taken while at the event.

Sandburg is committed to making our events accessible to everyone. If you require an accommodation to participate in the Scholarship Reception, please complete the field below by Oct. 5, 2026. We'll make every attempt to implement late requests; however, can't guarantee they'll be met. For questions, contact Stefani Gillen, coordinator of disability support, sgillen@sandburg.edu/309.341.5262.

Accommodation request:

Please share details about your request (e.g. sign language interpreter, accessible parking space, allergen-free meal, vegetarian/vegan meal, etc.)