Scholarship Application
Caitlyn's Vision is offering two $500 scholarships to graduating seniors who have dealt with visual impairments. This scholarship is open to all students in Suffolk County that are Graduating Seniors.
Email address *
Name *
First and last name
Address *
Phone number *
Name of High School, Guidance Counselor and Phone number *
What college will you be attending? *
Please answer one of the following question in no fewer than 150 words. How did your visual impairment help or hurt your experiences in school? or How did you use your visual impairment to overcome obstacles? *
Never submit passwords through Google Forms.
This form was created inside of Caitlyn's Vision Inc.. Report Abuse