Families of Children with Cancer Scholarship Application
Annually, the Board of Directors award scholarships to childhood cancer survivors from our group who are in their final year of high school and are about to enter college or are currently enrolled in a post-secondary program.  Previous recipients are eligible and encouraged to reapply.  In order to qualify for this year’s scholarship, an essay will be required from each applicant along with volunteering in one of our events. Both qualifications have to be met in order to receive the scholarship. Your essay will possibly be published in an upcoming newsletter along with the photo you attach. APPLICATION IS DUE JULY 1, 2019.
Email address *
Name *
Phone Number *
Address *
Date of Diagnosis *
MM
/
DD
/
YYYY
Cancer Type *
Pediatric Oncologist
Age at Diagnosis *
Name of High School Graduated from and Year of Graduation *
Name of College/Tech School/Institution you are or will be attending next year *
Student ID# *
Degree/Career Being Pursued *
Bursar's Office Address *
What Activity/Event do you plan to assist Families of Children with Cancer during the next year? (check all that are a possibility) *
Required
Briefly Describe your involvement with FOCWC. *
Please upload an essay addressing one of the following questions:
1) How has your cancer diagnosis impacted your life, in what ways? How will you utilize all of your experience with cancer in your future?
2) How has your family made a difference on you and in your community? Who has made the greatest impact on your life and how?
Senior Picture or Portrait shot *
Required
Submit
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