This form is to let us know that you are interested in applying for the Czarnik Heffern Scholarship. Applicants must be High School Seniors and Elk Grove Village residents. Applicants must submit an essay explaining how they have positively impacted the community. Applications are due by May 20th, 2026.

When you submit this form, it will not automatically collect your details, such as your name and email address, unless you provide them yourself.