Tourette Scholarship 2019
Please answer all questions and mail remaining documents to:
ScholasTIC Tourette Supporters
3579 E. Foothill Blvd #608
Pasadena, CA 91107
Email address *
Your Name and Date of Birth *
Your answer
Address and phone # *
Your answer
Parent's name and contact info *
Your answer
Current high school and grade, Date of Graduation and GPA *
Your answer
Name of college or trade school you plan to attend; have you been accepted? *
Your answer
Course of study planned *
Your answer
Do you have the diagnosis of Tourette Syndrome? at what age? *
Your answer
Are you or your parents a member of the National Tourette Association? *
Your answer
Have you volunteered or fundraised for anything related to Tourette Syndrome? Are you a Youth Ambassador? *
Your answer
Tell us about yourself. Tell us your hobbies, sports, interests, etc *
Your answer
Please write between a 250-500 word essay that tells your Tourette story. Include anything that helps us understand your family, your diagnosis, your struggles and successes. Include your future plans and aspirations and what a scholarship would mean to you. Mail a hard copy to the address listed above. *
Your answer
This application will be considered complete when all listed items have been received by the ScholasTIC Tourette Supporters
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