Neurodevelopmental Scholarship Application

To apply for this program please complete the application below. Priority will be given to members who have been active with The Foundation.

    Parent Information

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    Applicant Information

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    Program Information

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    If you have had a previous evaluation please answer the following questions.
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    Scholarship Amount

    Please let us know the scholarship amount required. You can request any amount necessary for your family to participate in the clinic. 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 evaluation, that will allow another family the opportunity to participate. There are a limited number of full scholarships available.
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    Other Information

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    *There are a limited number of full scholarships available to families with proof of financial need. To be eligible for a FULL SCHOLARSHIP you may be required to provide 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.