Nomination for the Stephen L. Knier Memorial Scholarship for Outstanding Students with Disabilities

Nomination for the Stephen L. Knier Memorial Scholarship for Outstanding Students with Disabilities

Mayor’s Committee for Persons with Disabilities
The deadline to submit a nomination is June 24, 2024.
Nominee's Contact Information
Nominee's Name*

First NameLast Name
Nominee's Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Nominee's Phone Number*

Area CodePhone Number
Nominee's Email*
example@example.com

Nominee's School Information
Current School*
School Address*

Street Address

Street Address Line 2

CityState

Zip Code
School Phone*

Area CodePhone Number
Below, please provide your overall GPA, transcript, financial need per current FAFSA, and Student Aid Report.

If you need to fax or mail your FAFSA or Student Aid info, send to (by June 23):

Gary Canapinno
Mayor’s Committee for Persons with Disabilities
PO Box 3136
Greensboro, NC 27402
Phone: 336-373-2723
Fax: 336-373-4656
Overall GPA
Please upload transcript

Upload Transcript
*Note: You may also fax or mail in your transcript (see above) Cancelof
What is your financial need ($)*
Upload copy of Student Aid Report

Upload Student Aid Report
*Note; You may also fax or mail in your Student Aid Report (see above) Cancelof
Honors and Activities*
Education and/or Vocational Training - Describe your goals for postsecondary education and/or training and how this award will support you reaching those goals?*
Describe your Activities and Volunteer Experience.*

Nominee's Initiative, Resourcefulness, Perseverance and Adapting Ingenuity
Explain the impact of your disability in your daily life. You may want to share what resources or skills you have learned to overcome these challenges. This information will not be shared outside the scholarship review committee.*
Explain how student has exhibited ingenuity in adapting to his/her school or living environment.*
Please upload two letters of recommendation.

Upload Recommendations

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