Published using Google Docs
Ben Roberds Scholarship (BRS) Application 2025.docx
Updated automatically every 5 minutes

Positive Energy Affecting Recovering Lives (P.E.A.R.L.)

Ben Roberds Scholarship (BRS) Application

Important Dates:


About the Ben Roberds Scholarship

P.E.A.R.L. is a 501(c)(3) nonprofit organization. The BRS is funded through generous contributions from individuals, foundations, and corporate donors.

Selected recipients will receive up to $2,500 over two semesters (fall, spring, or summer) at an accredited 2-year, 4-year, or vocational institution. Funds can be used for tuition, textbooks, and related educational expenses.


Eligibility Requirements

Applicants must:
✅ Be a
current participant or graduate in good standing of:

Actively engaged in a structured recovery program? (Examples: Peer support groups, 12-step programs, faith-based recovery, professional counseling, etc.)
✅ Have a high school diploma or GED
✅ Be enrolled in at least 12 credit hours (or equivalent for vocational school)


Required Documents Checklist

🔲 Completed Application – Incomplete applications will not be considered.
🔲
Personal Essay (500+ words) – Describe your life experiences, educational goals, and recovery journey. Please include what you have done to maintain your recovery and will continue doing to maintain it.
🔲
Two (2) Letters of Recommendation – One must be from a BCDC staff member or counselor. Letters should be typed, signed, and dated.

📌 If you cannot provide a required document, attach a written explanation.


Submission Instructions

📌 Mail or Drop Off:
P.E.A.R.L. – Attention: BRS
115 N. Dixieland Rd, Suite 1
Rogers, AR 72756

📌 Email Submission (Preferred):

  1. Use an online signing tool like DigiSigner to complete and sign the application.
  2. Save the completed form and required documents.
  3. Email to support@arpearl.org with the subject: Ben Roberds Scholarship Application

Ben Roberds Scholarship Application

Personal Information

Full Name: ____________________________________
Address: ____________________________________
City, State, Zip: ________________________________
Phone: _____________ Alt. Phone: _____________
Email: ____________________________________
Marital Status: ☐ Single ☐ Married ☐ Divorced ☐ Widowed
Are you or a family member employed by P.E.A.R.L. or on the Board of Directors? ☐ Yes ☐ No


Education

School Attending This Semester: ________________________
Major/Field of Study: ________________________
Anticipated Graduation Date: ________________________
Enrollment Status: ☐ Full-Time ☐ Part-Time ☐ Unknown

Academic Year Classification: ☐ Freshman ☐ Sophomore ☐ Junior ☐ Senior ☐ Vocational


Employment

Current/Most Recent Employer: ________________________
Job Title: ________________________
Work Address: ________________________
Hours Per Week: _______ Dates of Employment: From _____ to _____
Will you continue working while in school? ☐ Yes ☐ No


Financial Aid & Scholarships

Have you previously received this scholarship? ☐ Yes ☐ No → If yes, when? _______
Have you applied for other scholarships/financial aid? ☐ Yes ☐ No → List them: _______________
Have you completed the FAFSA? ☐ Yes ☐ No


Memorandum of Understanding

By signing below, I acknowledge that:
I must maintain a 2.5+ cumulative GPA and meet Satisfactory Academic Progress (SAP).
I must live in Benton, Washington, Carroll, or Madison County.
✅ Eligibility and program funds are subject to change.
Selection is not guaranteed, even if I meet all requirements.

I certify that the information provided in this application and all supporting documents is true and accurate to the best of my knowledge. I understand that any material misrepresentation or deliberate omission in my application or interview may result in denial or termination of scholarship assistance.

I acknowledge that P.E.A.R.L., its officers, directors, employees, and volunteers are not liable for any loss I may suffer due to not receiving a scholarship, partial funding, or changes in scholarship availability.

I waive any cause of action against P.E.A.R.L. or its representatives regarding scholarship decisions.

Signature: ________________________ Date: _____________


Release of Information & FERPA Authorization

I authorize P.E.A.R.L. to:
🔹 Access my educational and financial records to verify eligibility.
🔹 Use application information for reporting, donor relations, and public awareness.

I understand that I can revoke this authorization in writing at any time.

Signature: ________________________ Date: _____________
Printed Name: ________________________