Angels Surviving Cancer's Scholarship Recipient

SCHOLARSHIP FORM

ANGELS SURVIVING CANCER,INC.SCHOLARSHIP RECIPIENT
- 2026 ASC Scholarship Announcement
Angels Surviving Cancer, Inc. is pleased to announce that applications are now open for the 2026 ASC Scholarship Program for graduating high school seniors.

Angel’s Surviving Cancer, Inc. Annual Scholarship Program

Being selected for the 2026–2027 ASC Scholarship Award means you will receive financial assistance to support your continued education. This scholarship is made possible through the generosity of our donors and supporters.

The award recognizes students who demonstrate:

Academic achievement
Community service involvement
Strength and perseverance
This scholarship is awarded in honor of a mother or guardian who has battled breast cancer — whether she is a survivor or has transitioned due to the disease.

Eligibility Requirements

To qualify, applicants must:

Be a graduating high school senior in 2026
Be enrolled for the Fall 2026 semester
Be scheduled to take at least 12 credit hours (if attending college)
Have been accepted into one of the following:
Four-year college or university
Community college
Vocational or technical school
Trade program

Family Criteria

Applicants must have a mother or guardian who:

Is currently battling breast cancer, or
Is a breast cancer survivor, or
Passed away due to breast cancer
- Scholars will be honored at the Angels Surviving Cancer,Inc .event to be announced. Deadline to submit Application is Friday, May 15, 2026.
Application Process
1. Create a short paragraph about you and your mom. Include a picture of you and your mom as well.
2. Create a 2-minute video with the following:
  1. Your name
  2. The high school that you are graduating from
  3. The name college, technical program or trade school you plan to attend
  4. The name of your mother and her breast cancer experience
3. Fill out the online application form here and upload your video using the form
4. Once candidates are selected for the award, a representive from Angels Surviving Cancer,Inc. will contact them by phone to notify them of their selection.
5. The award recipients will receive two complimentary tickets to the Annual Prayer Breakfast where they will receive their scholarship award in the form of a check.
Angel’s Surviving Cancer, Inc. makes every effort to protect the privacy of your information and records.

Please email us directly with any questions or concerns at info@angelssurvivingcancer.org or call 281-912-5195

Please complete the below application. This will allow you the best chance of being selected for the scholarship.
Personal Information
Today's Date

MonthDayYear
Date
Name of Parent or Guardian*

First NameLast Name
Please select whether your mother is currently battling breast cancer or if she succumbed to the disease during your senior year in high school.*

Currently or have had with battled breast cancerPassed away from breast cancerNeither (You do not qualify for this specific grant. Please email us at info@angelssurviingcancer.org for additional assistance.)
Student's Name*

First NameLast Name
Student's Date of Birth*

MonthDayYear
Date
Student's Phone Number*

Area CodePhone Number
Student's Email*
example@example.com
Student's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
High School Graduation Date*

MonthDayYear
Date
Create a Paragraph About Yourself
Create a short paragraph about you and your mom.
Please upload a .jpg file that is no larger than 10 MB

Browse Files

Cancelof
Video Submission can be done later month before event

Please upload your 2-minute video below. The description of what should be in the video is included in the form note above.
Upload video in one of the following formats: mp4, wmv, mov

Browse Files
Upload short video Cancelof
Name of College/Trade School possible
College/Trade School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
College/Trade School Phone Number

Area CodePhone Number
What date will you be enrolled
Major
Before receiving the scholarship

you will need to submit a copy proof of your 2026 college/tech school enrollment
I CERTIFY THAT ALL STATEMENTS AND INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE DENIAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature/ Guardian if under 18 yrs old

Clear
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty:

Personal Information

Video Submission can be done later month before event

Before receiving the scholarship