Bailey Brigade Scholarship Application Form
Helping students interested in the medical field is at the heart of the Bailey Brigade mission. Before Scott Bailey died in 2021 of salivary gland cancer, he was cared for by the kindest humans from doctors to nurses to physical therapists. The world needs more folks with compassionate hearts helping people going through something unimaginable. If that's you, we want to help! Please fill out the application below and submit required attachments by April 6th, 2026. Send questions to sarah@baileybrigade.com
Eligibility: Are you currently a senior enrolled at South Walton High School, the Magnet Innovation Center (STEAM), or Seacoast Collegiate High School?
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Yes
No. If no; please check back in 2027 for other scholarship opportunities.
Name
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First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Mobile Phone Number
Format: (000) 000-0000.
E-mail
*
Enter E-mail Here
Address
Street Address
Apt/Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
College Information
College/University where you have been accepted. You may enter more than one.
Cumulative GPA
What scholastic honors or distinctions have you received, if any?
What extracurricular honors or distinctions have you received, if any?
Tell us how receiving this $1000 scholarship would benefit you financially.
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0/600
Have you or anyone you know been affected by cancer?
Yes
No
If yes, what about this experience impacted your life the most and how?
What is your dream job after graduation?
Upload Personal Statement - Why are you choosing the medical field and give us some intriguing details about you as a human such as volunteer or work experience that might highlight your interest in helping others.
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Upload at least 2 Personal Reference Letters where someone tells us how amazing you are and why you should be considered for this scholarship more than others.
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Upload Resume.
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Upload Transcript. Compress file if needed or email to info@baileybrigade.com
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