GUSU Adaptive Fitness Scholarship
Applications must be received in full by May 31, 2021.
If you need assistance filling out the form please contact
See Link below for full scholarship eligibility details.
Email address *
Name *
Mailing Address (Home Address) *
City, State, Zip *
Phone number *
Have you previously received a GUSU Adaptive Fitness Scholarship? *
Have you previously applied for a GUSU Adaptive Fitness Scholarship?
Clear selection
Date & Level of Spinal Cord Injury *
How did you hear about GUSU and the GUSU Adaptive Fitness Scholarship? *
Have you participated in an Adaptive Fitness Program previously or currently? If so, where? *
Name of Adaptive Fitness Program you will participate in and anticipated start date? *
How would receiving a GUSU Adaptive Fitness scholarship impact your life? *
Is there anything else you would like the GUSU board to know in reviewing your application? *
If selected are you willing to have your name and/or picture used on GUSU social media and provide a short testimonial for future GUSU promotional purposes? (Answer will not effect applicants eligibility or chances of being selected as scholarship recipient) *
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