General Scholarship Application

APPLICATION DEADLINE: March 15, 2021

[Scholarship Requirements:]

The Marion Luckers Kidney Foundation provides a unique scholarship for those impacted by kidney disease.

High School Eligibility: Must be graduating high school in 2021. Current or past kidney disease patient or must have a family member/close friend that has been impacted by the disease - attending college or vocational school in fall 2021. Open to residents living in Philadelphia, Bucks, Delaware, and Montgomery County.

College Eligibility: Must be in good academic standing at Community College of Philadelphia and earned 12 credits. Current or past kidney disease patient or must have a family member/close friend that has been impacted by the disease.

PLEASE NOTE: APPLICATION WILL NEED TO BE COMPLETED IN ONE SESSION. YOU WILL NOT BE ABLE TO SAVE WORK AND COMPLETE LATER. BEFORE YOU START, PLEASE HAVE ALL THE NECESSARY INFORMATION READY TO COMPLETE THE APPLICATION.

Personal Information

First Name Middle Name Last Name

Date of Birth

Home Address

Street Address

Apt/Unit #

City State

Zip Code

Phone Number

Area Code Phone Number

Parent/Guardian Phone Number (if high school applicant)

Area Code Phone Number

High School or College Name

High School or College Address

Street Address

Apt/Unit #

City State

Zip Code

Anticipated Graduation Date

Cumulative GPA

School E-mail

Personal E-mail

Anticipated College/Vocational School Fall 2021 (high school/Community College of Philadelphia grads only)

0/600

Intended or current major in college

List extracurricular activities/leadership roles:

0/600

List community involvement and volunteer activities (indicate the years of involvement):

0/600

List honors and awards:

0/600

I am a...

I heard about the scholarship through...

Essay (Please upload a Word or PDF document)

Browse Files

In 500 words or less, share your kidney story, please answer the following: 1) How has kidney disease impacted yourself or your family? 2) Your goals and career aspirations. 3) The impact this scholarship would have on your educational career. The essay statement will be rated on the following: thoroughness, grammar, and word count.

I hereby declare that all statements above are true. I agree to accept the decision of the Marion Luckers Kidney Foundation Board of Directors. Award recipients will be notified and scholarships will be awarded upon verification of enrollment from a college or university. Verification entails an enrollment form completed by the institution with the registrar's signature and official seal of the institution.

Name

Initials

Date of Application

Date

If you have questions regarding any part of this application, how to complete it, or the requirements for its submission, please contact [info@mlkidney.org], subject: MLKidney Scholarship.

MLKidney 2021 Scholarship Application