Beyond Words Foundation for Autism - Summer 2019 Scholarship Application
Please complete this application in its entirety. Before your application can be officially accepted and and considered for a scholarship, you will need to email or standard mail a copy of your child's current IEP. The provider that you are requesting services from will need to complete their portion of the application and submit directly to BWF. All documents need to be received before April 15, 2019 to be accepted for our 2019 Summer Scholarships.

Reminders:
(1) We do not provide 100% scholarships. We value the family's monetary commitment to the service. Applications requesting the minimum needed scholarship amount being 100% of the total tuition, will automatically be denied.
(2) We consider scholarships to services that are recreational in nature, not services that are academic or included on the student's IEP. Please consult the website for an idea of services that are and are not considered.
(3) Scholarship award letters will be mailed May 15th.
(4) It is not guaranteed that a complete application will receive a scholarship.
(5) Incomplete applications will automatically denied.
(6) We appreciate an application in which the person applying has taken the time to describe to the Board of Directors why they need a scholarship for their child. This is not a decision based solely on financial need.
(7) Scholarship money will be distributed only after the service has been provided. Therefore if the service/organization requires payment before the service is provided, it is the parent/caregiver's responsibility to work these registration details our with the organization. Our scholarships will be applied to services that are provided between June 1-August 31, 2019 ONLY. The awarded scholarship can only be used for the service applied for and is non-transferrable to another service without approval from the Board of Directors (requiring prior written notice).

Student Name *
Your answer
Birthdate *
MM
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DD
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YYYY
Gender *
Diagnosis *
Your answer
Parent/Guardian Name *
Your answer
Address *
Street, City, State, Zip
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email *
Your answer
Parent/Guardian Marital Status
Does the student have siblings? If so, please list ages.
Your answer
Type of Service Requesting Scholarship For *
(i.e. swimming, horseback riding, music, etc.)
Your answer
Company/Organization Providing Service *
Be sure to inform them to complete their portion of the application.
Your answer
Total Amount of the Service *
June 1 - August 31, 2018 only
Your answer
Requesting Amount *
If you request 100% of the total amount of service, your application will automatically be denied.
Your answer
Minimum Amount Needed for the Service to Continue *
Complete this amount in case, the total amount requested cannot be awarded.
Your answer
Tell us about your child. *
Strengths, Passions, etc.
Your answer
Past progress with this services or lack of progress with other services. *
Your answer
Current Therapies (Please list.) *
Your answer
Previous Therapies (Please list.) *
Your answer
Interventions Used
Applied Behavior Analysis, Floortime, Verbal Behavior, etc.
Your answer
Alternative Sources of Funding *
Required
Household Net Income *
(include all sources of income)
Your answer
Why should the student and/or family be considered for a scholarship? *
Please be as detailed as possible.
Your answer
Additional Information
Your answer
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