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2023 Scholarship Application

Applications are closed for this year. Please be sure to check back in January 2024 for next year's application.

ELIGIBILITY
Applicants must meet all three of the following criteria to be considered for a Susan Fund scholarship:
PERSONAL INFORMATION
First Name *
Middle
Last Name *
Month
/
Day
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Year
Best method to contact you:
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Country
Address Line 1
Address Line 2
City
State/Province
Postal Code
FAMILY INFORMATION
First Name *
Last Name *
First Name
Last Name
EDUCATIONAL INFORMATION

List institution now attending, or college, institutions or training programs to which you have applied or plan to apply, in order of preference, and the expected year of graduation.

Your most recent school transcript from High School or College is required as part of your application. The transcript can be uploaded and attached to this application.
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Email Transcript
If you are unable to upload your transcript at this time, please email your transcript no later than April 1st to SUSANFUND@GMAIL.COM with your name in the subject line.
Write a statement of your educational or career goals.
FINANCIAL INFORMATION

(Most recent tax return(s) may be requested)

CURRENT EDUCATIONAL COST & SUPPORT (2022-23)

If you are currently attending college, please complete the following.

AMOUNT OF FINANCIAL SUPPORT RECEIVED FROM:
ANTICIPATED EDUCATIONAL EXPENSES FOR THE COMING YEAR (2023-24):
AMOUNT OF FINANCIAL SUPPORT YOU EXPECT FROM (2023-24):
*Note: Total Anticipated Expenses (A) MUST EQUAL Total Financial Support (B)
2023 LETTER OF RECOMMENDATION (a new one is required every year)
A current letter of recommendation from your employer or school authority is required as part of your application. The letter can be uploaded and attached to this application by choosing the upload delivery method below.
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Email Letter of Recommendation
If you are unable to upload your letter of recommendation at this time, please email your letter of recommendation no later than April 1st to SUSANFUND@GMAIL.COM with your name in the subject line.
If you are a first time applicant, you must submit a statement from your doctor describing the nature of your illness. Past recipients are encouraged to submit a current doctor's statement. Please choose one of the delivery methods below or indicate that you will not be submitting a doctor's statement.
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Email Doctor's Statement
Not required to submit a Doctor's Statement
You or your parents are encouraged to include any additional pertinent data in support of your application.
No file selected
VERIFICATION AND RELEASE
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Email CURRENT PHOTO
If unable to upload your photo at this time, please email it no later than April 1st to SUSANFUND@GMAIL.COM with your name in the subject line.
Month
/
Day
/
Year
Electronic Signature Acceptance
By entering your Name and Date and checking off the "I ACCEPT" box below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.
The recipient of a Susan Fund scholarship understands that receiving such a grant may result in publicity, and hereby authorizes The Susan Fund to publicize or use the recipient’s name and/or photograph, now or in the future, in promotional material involving The Susan Fund. The recipient hereby releases and holds harmless The Susan Fund and its Board of directors from any and all liabilities, damages or claims of any kind resulting from the use, distribution of disclosure of the recipient’s name and/or photograph or other information regarding the recipient.
Month
/
Day
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Year
Electronic Signature Acceptance
By entering your Name and Date and checking off the "I ACCEPT" box below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.
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