Contact information
Application deadline for the 2021-2022 school year is May 1st, 2021. After application our committee with confer with your clinic. We require a letter of acceptance from you college, submit to info@tennesseepku.org. If selected and tuition assistance is preferred, we will submit our scholarship directly to your school indicated. Any additional questions that you may have please contact us.

**If you dis-enroll or do not complete this year of college, you will be required to pay back the scholarship.
Email *
PKU Student College Scholarship Application
Your Full Name *
Parent/Guardian Name, Phone Number, and Email Address *
Your Email *
Your Home Address *
Your College Address (if known)
Phone number *
What is your primary clinic? *
High school attended and graduation date: *
Which college have you been accepted to? *
Scheduled year of college graduation? *
Declared Major/Minor? *
Are you in need on financial tuition support or low protein food support? *
Have you applied for another scholarship? If so, which one? *
Will you have access to cook foods at college? *
How has PKU prepared you for college? *
Have you experienced difficulty managing PKU? If so, please explain how you successfully overcame the difficulties. *
Have you been involved with Tennessee PKU Foundation? If so when and how? *
Tell us more about yourself (Examples: Hobbies, strengths, career goals, etc). *
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A copy of your responses will be emailed to the address you provided.
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