GUSU Adaptive Fitness Scholarship
Applications must be received in full by November 30, 2022
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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?
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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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