SCHOLARSHIP APPLICATION

Scholarship Application 2025-26 Academic Year
Racine Local Businesses, Inc.
P.O. Box 085167
Racine, WI 53408
(262) 880-4718

To Whom It May Concern:

The Racine Local Businesses, Inc. will once again be giving $1,000 scholarships to deserving high school seniors at our 12th Annual Scholarship Banquet to be held on February 14, 2026, at Infusino’s Banquet Hall.

We are requesting your assistance in securing applicants for the 2025-26 school year. If you

know of anyone that will be graduating and meets the qualifications we are seeking, please give the student an application to complete.

Note that all applications should be returned no later than January 9, 2026.

Racine Local Businesses, Inc. thanks you for your continued support of Racine’s future leaders. If you have any questions or concerns, please reach out to Larry Foster (262) 939-1597.

We appreciate your efforts and look forward to speaking with you soon. Regards,

Larry J. Foster

Scholarship Co-Chairperson

Last name:

First name:

Address (Include city, state & zip):

Phone:

Email:

Date of Birth:

Month

Day

Year

Please provide the first and last name of a teacher you believe is an impactful teacher:

High School Presently Attending:

Grade Point Average (GPA on a 4.0 scale). Please attach an official transcript:

List your academic honors, awards, clubs, and volunteerism while in HS:

Name of the postsecondary (University, College, Trade or Vocational) school I will be attending:

Address (include city, state & zip):

I will be attending the postsecondary school in the Fall of:

Financial Advisor Name:

What specialty/major do you plan to pursue?

In 200 words or less, please share your future goals and describe how you plan to contribute to the growth and success of your community or society. (Use a separate sheet, and the essay must be typed if not submitted online.):

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me is true to the best of my knowledge. I also consent that my picture may be taken to be used to help promote this scholarship program.

I hereby understand that if selected as a scholarship recipient, I must provide evidence of enrollment /registration /student I.D. at the post-secondary school of my choice before scholarship funds will be released. Also, if Racine Local Businesses has not received my information by October 31st, 2026, the $1000 scholarship will be rescinded .

PLEASE NOTE You MUST attend the Award Ceremony which will be held February 14th, 2026, at Infusino’s Banquet Hall. Dress code applies. Please, no torn jeans.

The Scholarship application deadline is January 9, 2026! Applications received after that date will not be considered!

Signature of scholarship applicant (Please type name to add signature):

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Date

Month

Day

Year

Signature of Parent (PARENT(s) please sign below acknowledging that you have read the Statement of Accuracy above and discussed it with your student. Please type name to add signature):

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Date

Month

Day

Year

Parent Phone Number:

Parent Email:

Signature of Parent (PARENT(s) please sign below acknowledging that you have read the Statement of Accuracy above and discussed it with your student. cussed it with your student. Please type name to add signature):

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date:

Month

Day

Year

Parent Phone Number:

Parent Email:

2025-26 Academic Year

The deadline for the 2025-2026 Graduating Senior Scholarship application is January 9, 2026. Applications received after January 9th may not be considered.
Only completed applications will be considered. DO NOT LEAVE ANY ITEMS BLANK.
Attach a current copy of your H.S. and/or GED transcript.
Two (2) signed letters of recommendation must be attached to this application.
Email completed applications to Racinelocalbusines@gmail.com
If there are any questions about the application, please call Larry Foster at (262) 939-1597.

If you prefer to complete the hard copy version of this document rather than filling it out online, please download the 2024-25 Scholarship APP Form below and email the completed form to racinelocalbusinesses@gmail.com

2024-25 Scholarship APP.docx

Scholarship Application 2025-26 Academic Year Racine Local Businesses, Inc. P.O. Box 085167 Racine, WI 53408 (262) 880-4718

SCHOLARSHIP APPLICATION

Scholarship Application 2025-26 Academic Year
Racine Local Businesses, Inc.
P.O. Box 085167
Racine, WI 53408
(262) 880-4718