Scholarship Application Form
How to Complete this Application Successfully
Please understand that you will NOT be able to save a copy of this form and return to it later. We therefore recommend that you set aside sufficient time to complete the application and carefully review the items in the checklist below before you begin.
Please review each statement & check its box below to ensure that you have the following material/information with you before you start: *
If you have any questions, please email The Bernie Scholarship Awards Program at
Requirements of Award Acceptance
We are very pleased to learn of your interest in this scholarship program and want to inform you of the following conditions, if you are chosen to be a scholarship recipient:

1. All of us at The Bernie Scholarship Awards Program, which recognizes resiliency, courage, drive and persistence, are very pleased that you are considering applying for a scholarship. If awarded to you, you will join the 474 distinguished Bernie Scholarship Awards Program’s prior recipients. Some were awarded 2-3 years, so the total of awards to date is 524.

2. We want to be able to follow up with you and to bring you up to date about additional Bernie Scholarship Award opportunities, for you (should you choose to apply for an additional award in subsequent years) and for others. Please be sure to give us your contact information as you continue your education with the assistance of The Bernie Scholarship Award. We will need for you to keep us informed if and when your contact information changes, as we know it will.

3. If you received a Bernie Award in 2018, you must have completed the 2018 Survey Questionnaire in order to be eligible for a 2019 award.

IMPORTANT DATES in 2019 – Mark your calendars:
 Deadline for applications to be submitted online: Friday, March 1st
 Applicant interviews: Saturday, May 4th 9:00 a.m. to 1:00 p.m. REQUIRED in person (or by phone only if necessary)
 Scholarship awards celebration: Thursday, May 23rd, from 5:30 - 8:30 p.m. for all awardees and their families (& valued mentor if desired).

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