Bridge to Tomorrow Scholarship Application Form

Empowering Neurodiverse Youth Through Education and Opportunity.

All scholarship applications must be submitted 30 days before the end of the quarter in which they will be awarded.

Scholarship deadlines:

March 31 (End of Q1)

June 30 (End of Q2)

September 30 (End of Q3)

December 31 (End of Q4)

Scholarship Quarter Requested*

Please select the quarter(s) you are requesting aid for the applicant

Select

Is applicant under 18?*

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Parent/Guardian Name

Parent/Guardian Relationship to the Applicant

Select or enter value

If Other Parent/Guardian Relationship Please Specify

Parent/Guardian Phone Number

Phone

Parent/Guardian Email Address

Applicant Name (Last, First)*

Applicant Date of Birth*

Applicant Street Address*

Applicant City*

Applicant State*

Select or enter value

Applicant Phone Number*

Phone

Applicant Email Address*

Applicant Current School/Program Name*

Current Academic Grade Level*

Select or enter value

Indented Use of Scholarship*

Select or enter value

Amount Requested*

Please specify the amount requested.

*Note available scholarships may not cover the full amount

Please Give Additional Details On How the Scholarship Will Be Used*

Personal Statement*

Please attach a typed essay (500 words or fewer) answering the following:

1. Tell us about yourself and your educational journey.

2. How will this scholarship help you achieve your goals?

3. Share an example of how you’ve overcome challenges in your learning journey.

You may also type your statement and submit it below with the other supporting documents. If you do please write attached below.

Supporting Documents*

Please include the following:

1. A copy of your most recent report card or transcript.

2. A letter of recommendation from a teacher, coach, or community leader.

3. Documentation of financial need (e.g., tax returns, proof of income, or other supporting documentation).

If these items are not uploaded your application is not likely to be approved

Drag and drop files here or

Acknowledgment and Consent*

By typing your name below, you certify that the information provided is true and complete to the best of my knowledge. I authorize the Bridge to Tomorrow Foundation to verify any information contained in this application.

Send me a copy of my responses

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