Send
Section 1 of 9
The Big Bill Foundation 2025 Scholarship Application
Deadline for Applications: Saturday, December 7th, 2024 at 11:59PM. 
If you are not chosen for the first round of scholarships (awarded at The Big Bill Big 5K, the morning of January 18th, 2025), you will automatically be considered for the second round (awarded at The Robinson Preserve Twilight 5K & 10K Run/Walk, the evening of March 21st, 2025).
 If you have already received this scholarship, you are not eligible to receive it again.
Loading image…
Loading...
Loading…
Applications for the 2025 Big Bill Foundation Scholarships are open!
Please fill out this application to it's fullest. Only those who have survived or are currently battling with childhood cancer may apply to this scholarship. Your essay must be at least 450 words, have your name on it, and have a title to be considered.
Loading...
Loading…
Last Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
First name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Do you go by any other name?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Headshot or Photo of Yourself
Question Type
Loading image…
Add file
View folder
Allow only specific file types
Maximum number of files
Maximum file size
View folder
Answer key
(0 points)
Loading...
Loading…
Date of Birth
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Are you older than 18?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Section 2 of 9
Parent/Guardian Information
Required if you are under the age of 18
Parent/Guardian First Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/Guardian Last Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/Guardian Cell Phone Number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/Guardian Best Contact Email
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Section 3 of 9
Contact Information
Cell Phone Number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
I agree to receive text messages and/or phone calls in regards to my scholarship application and the final decision.
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Email Address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
I agree to receive emails in regards to my scholarship application and the final decision.
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Street Address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Apartment or Unit Number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
City
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
State/Province/Region
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Postal/Zip Code
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Are Your Mailing Address and Permanent Address the Same?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Section 4 of 9
Mailing Address
Street Address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Apartment/Unit
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
City
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
State/Province/Region
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Zip Code
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Section 5 of 9
High School Information
If you are in or have graduated High School
Name of High School
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
City & State of High School
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Cumulative GPA (out of 4.0)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Expected or Previous Graduation Date
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Please list any academic achievements you have received or accomplished (AP classes, AP Scores, Awards, Honors Societies, IB Certificate, etc.) (Please include years these happened/you were involved in these and if you held any leadership positions)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Please list any extracurricular activities you participated in and if you held any leadership positions in these activities (Sports, Thespians, Band, Art, etc.)(Please include years active and years of leadership if applicable)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Please list any Volunteer Hours, what organizations they were with, etc. (Please include years in which you were involved)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Is there anything else about your high school experience you would like to tell us?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Have you already graduated high school and are in your secondary education?
Question Type
Loading image…
Yes
No
I have graduated college, but am taking time off at the moment.
Option 4
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Section 6 of 9
Secondary Education Information
College/University, 2 Year Program, Trade School, etc.
What is the name of your secondary education institution?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What city and state is it located in?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Unweighted GPA (If applicable)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is your field of study?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What degree/certification are you pursuing?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What do you do outside of school? (Extracurriculars, clubs, work, etc.)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Please list any awards or accolades you have received since graduating High School
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Section 7 of 9
Secondary Education Plans
What schools have you or do you plan on applying to?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Have you already been accepted into any schools? If so, which schools and for which semesters.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What field or fields of study do you want to go in to? (I don't know yet is an acceptable answer)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What degree do you plan on pursuing? (Bachelor's, Associate's, Certification, Etc.)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Anything else you would like to tell us about your future plans?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Section 8 of 9
Essay
All essays must be at least 450 words. Please include your name in the document as well as a title for the essay. Please save the document as "YourFirstName-YourLastName" before uploading.
Please describe how cancer has impacted your life and how it has shaped your goals for your education and future.
Question Type
Loading image…
Add file
View folder
Allow only specific file types
Maximum number of files
Maximum file size
View folder
Answer key
(0 points)
Loading...
Loading…
Section 9 of 9
Acknowledgements
Will you be able to attend either of the following events, both held at Robinson Preserve in Bradenton, FL: The Big Bill Big 5K on Saturday, January 18th, at 7AM and/or The 17th Annual Robinson Preserve Twilight 5K & 10K Run/Walk on Friday, March 21st, at 7:30PM?
Question Type
Loading image…
Yes, I can attend either event.
I can only attend The Big Bill Big 5K.
I can only attend The 17th Annual Robinson Preserve Twilight 5K & 10K.
I cannot attend either event.
I am not sure yet.
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
I hereby grant and authorize The Big Bill Foundation the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration.
Question Type
Loading image…
I agree to the above statement.
I do not agree with the above statement.
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
I hereby agree to use The Big Bill Foundation Scholarship only towards academics (tuition, books, school supplies).
Question Type
Loading image…
I agree to the above statement, and will sign a document at a later date assuring this.
I do not agree with the above statement.
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Applications for the 2025 Big Bill Foundation Scholarships are open!
Last Name
Copy chart
No responses yet for this question.
First name
Copy chart
No responses yet for this question.
Do you go by any other name?
Copy chart
No responses yet for this question.
Headshot or Photo of Yourself
No responses yet for this question.
Date of Birth
No responses yet for this question.
Are you older than 18?
Copy chart
No responses yet for this question.
Parent/Guardian Information
Parent/Guardian First Name
Copy chart
No responses yet for this question.
Parent/Guardian Last Name
Copy chart
No responses yet for this question.
Parent/Guardian Cell Phone Number
Copy chart
No responses yet for this question.
Parent/Guardian Best Contact Email
Copy chart
No responses yet for this question.
Contact Information
Cell Phone Number
Copy chart
No responses yet for this question.
I agree to receive text messages and/or phone calls in regards to my scholarship application and the final decision.
Copy chart
No responses yet for this question.
Email Address
Copy chart
No responses yet for this question.
I agree to receive emails in regards to my scholarship application and the final decision.
Copy chart
No responses yet for this question.
Street Address
Copy chart
No responses yet for this question.
Apartment or Unit Number
Copy chart
No responses yet for this question.
City
Copy chart
No responses yet for this question.
State/Province/Region
Copy chart
No responses yet for this question.
Postal/Zip Code
Copy chart
No responses yet for this question.
Are Your Mailing Address and Permanent Address the Same?
Copy chart
No responses yet for this question.
Mailing Address
Street Address
Copy chart
No responses yet for this question.
Apartment/Unit
Copy chart
No responses yet for this question.
City
Copy chart
No responses yet for this question.
State/Province/Region
Copy chart
No responses yet for this question.
Zip Code
Copy chart
No responses yet for this question.
High School Information
Name of High School
Copy chart
No responses yet for this question.
City & State of High School
Copy chart
No responses yet for this question.
Cumulative GPA (out of 4.0)
Copy chart
No responses yet for this question.
Expected or Previous Graduation Date
No responses yet for this question.
Please list any academic achievements you have received or accomplished (AP classes, AP Scores, Awards, Honors Societies, IB Certificate, etc.) (Please include years these happened/you were involved in these and if you held any leadership positions)
No responses yet for this question.
Please list any extracurricular activities you participated in and if you held any leadership positions in these activities (Sports, Thespians, Band, Art, etc.)(Please include years active and years of leadership if applicable)
No responses yet for this question.
Please list any Volunteer Hours, what organizations they were with, etc. (Please include years in which you were involved)
No responses yet for this question.
Is there anything else about your high school experience you would like to tell us?
No responses yet for this question.
Have you already graduated high school and are in your secondary education?
Copy chart
No responses yet for this question.
Secondary Education Information
What is the name of your secondary education institution?
Copy chart
No responses yet for this question.
What city and state is it located in?
Copy chart
No responses yet for this question.
Unweighted GPA (If applicable)
Copy chart
No responses yet for this question.
What is your field of study?
Copy chart
No responses yet for this question.
What degree/certification are you pursuing?
Copy chart
No responses yet for this question.
What do you do outside of school? (Extracurriculars, clubs, work, etc.)
No responses yet for this question.
Please list any awards or accolades you have received since graduating High School
No responses yet for this question.
Secondary Education Plans
What schools have you or do you plan on applying to?
No responses yet for this question.
Have you already been accepted into any schools? If so, which schools and for which semesters.
No responses yet for this question.
What field or fields of study do you want to go in to? (I don't know yet is an acceptable answer)
Copy chart
No responses yet for this question.
What degree do you plan on pursuing? (Bachelor's, Associate's, Certification, Etc.)
Copy chart
No responses yet for this question.
Anything else you would like to tell us about your future plans?
No responses yet for this question.
Essay
Please describe how cancer has impacted your life and how it has shaped your goals for your education and future.
No responses yet for this question.
Acknowledgements
Will you be able to attend either of the following events, both held at Robinson Preserve in Bradenton, FL: The Big Bill Big 5K on Saturday, January 18th, at 7AM and/or The 17th Annual Robinson Preserve Twilight 5K & 10K Run/Walk on Friday, March 21st, at 7:30PM?
Copy chart
No responses yet for this question.
I hereby grant and authorize The Big Bill Foundation the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration.
Copy chart
No responses yet for this question.
I hereby agree to use The Big Bill Foundation Scholarship only towards academics (tuition, books, school supplies).
Copy chart
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.