Laurette Scholarship Application
Requirements:
This scholarship is for eligible adults with autism spectrum disorder (ASD) who want to pursue post-secondary education.
-Students must have an ASD diagnosis,
-must either have a GED or a high school diploma or be earning one in May 2020,
-and must be accepted into a college, university, trade school, community college, or vocational training program for the 2020/2021 academic year to be eligible to apply.
* Required
Email address
*
Your email
Full Name
*
Your answer
Mailing Address (No P.O. Box)
*
Street Number, Street Name City, State ZIP
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Parent or Guardian Name (First, Last)
*
Your answer
Parent Email
*
Your answer
Date of Diagnosis
*
MM
/
DD
/
YYYY
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