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 the Annual Activity Report Form is an essential part of that communication.

The Contact Information Form must be completed and submitted with your tuition statement and grades each semester (or quarter for Rose-Hulman students).  The Annual Activity Report Form must be completed (along with required attachments) and submitted with your Book Stipend Report Form by June 1 of each year.  At the present time, the Book Stipend Report Form is not available on our website.  We are working to make this form available online and will keep you updated on our progress.

Online Forms
The Contact Information Form and the Annual Activity Report Form are provided below. These forms are designed to be completed on-screen and then printed (they cannot be submitted on-line and they cannot be saved for retrieval at a later time). You must have Adobe Reader to access these files (click here to download at no cost).

Contact Information Form

Annual Activity Report Form