IEP Scholarship Application

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The IEP Scholarship is available year round on an as needed basis.
Applications are reviewed once a month at the Foundation Board Meeting.
Award letters will be sent out by the 15th of the month following your application submission.

ONCE SCHOLARSHIPS HAVE BEEN AWARDED NO CHANGES WILL BE ACCEPTED.

Parent Information

First Name: *

Last Name: *

Address 1: *

Address 2:

City: *

State: *

Phone Number: *

Email: *

Applicant Information

Child's First Name: *

Child's Last Name: *

Age: *

Current School: *

Program Information

Name of individual / center providing assitance: *

Mailing address: *

Phone number: *

Email address: *

Scholarship Amount

Please let us know the scholarship amount you are requesting. It is not guaranteed you will receive the full amount requested. It is our goal to allow as many families as possible to participate so we will do our best to accomodate every need. Please take into consideration if you can afford to pay for a portion of your session, that will allow another family the opportunity to participate.

Please contact an advocate prior to applying for the scholarship so they can give you an estimate of how many hours they anticipate it will require to resolve your issue and provide you with a brief work plan as to how that will be done. You will need to explain why you need an advocate, your plan and the approximate hours they estimate it may take to assist you with your issue. We will approve the number of hours and pay the advocate upon invoice for UP TO the approved hours in your award letter. Scholarships are not available for services already provided.

Estimated Number of Hours: *

Estimated Total Cost: *

Date of IEP meeting or approximate date: *

Scholarships are reviewed once per month. It is your responsibility to make sure your scholarship is approved PRIOR to your IEP meeting. If you are requesting a scholarship for a meeting that is less than a month away please contact camille.gardiner@dsfflorida.org to request that your application approval be expedited. Thank you!

Please briefly explain your need for an advocate. *

I need a FULL scholarship.

I need a PARTIAL scholarship.

Requested Scholarship Amount: *

Other Information:

Comments:

I am a member of The Foundation.

I have submitted my child's IEP plan for this program.

Required

*There are a limited number of full scholarships available. To be eligible for a FULL
SCHOLARSHIP you MUST submit proof that your family is receiving one of more of the following:

-free or reduced lunch (current verification letter from your county's Food and Nutrition Services
Department)
-Head Start enrolled student and siblings
-Temporary Assistance for Needy Families (TANF)
-Food stamps (copy of current awards letter and card)
-Women, Infants & Children (WIC) program (current two-sided card)
-My foster child is receiving state or local funding (copy of court documentation)

PLEASE NOTE WHICH DOCUMENT YOU WILL SUBMIT IN THE COMMENT SECTION
ABOVE AND EMAIL A COPY TO INFO@DSFFLORIDA.ORG OR POST IT TO PO BOX 55462,
ORLANDO, FL 32853.

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This form was created inside of Down Syndrome Foundation Of Florida.