Ben Banks Scholarship Form 2025 — Benjamin M Banks Jr. Memorial Foundation

Congratulations, Blackhawk high school senior class of 2025. Please fill out this form to receive the Benjamin M. Banks Jr. Memorial Scholarship 2025.

The check will be made payable to the college or school you will attend. We will mail you the check for you to send to your college or school.

You have 4 years to claim this Scholarship.

If you are not attending a college or technical school please contact us by email ben@benbanksfoundation.com or phone Marie Banks 412.498.1325 to discuss other options.

Name

First Name

Last Name

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

College or Technical School attending

Schools specific department to make check payable to

If you have any memory of Ben you would like to share with us we would greatly appreciate it. (not required)

Benjamin M. Banks Jr. Memorial Foundation