Adult Scholarship Application

Adult Sickle Cell Warriors Scholarship
This award will be given to local, qualified individuals with sickle cell disease or sickle cell trait who are striving to achieve their goals through higher education, such as trade school, college, or university.
Requirements:
1. Must have sickle cell disease or the trait.
2. If currently enrolled in a higher education or vocational/ technical program GPA must be 2.5 or better.
3. Must be a resident of Kentuckiana, which consists of Jefferson, Bullitt, Hardin, Oldham, Meade, Shelby, Trimble, Henry, or Spencer Counties in Kentucky or Clark, Floyd, Harrison, Scott, and Washington Counties in Southern Indiana.
4. Must be attending or planning to attend a vocational/ technical school, college, or university.
5. Two letters of recommendation.
Criteria:
1. Complete this application and submit it with all documentation.
2. Letter of verification from a physician of diagnosis of SCD.
3. Proof of enrollment or letter of acceptance from educational institute for which you are seeking this scholarship.
4. Most recent transcript
5. Two references to submit letters of recommendation, one from a teacher and one from another adult such as a counselor, assistant principle, or principle.
6. Personal essay containing at least 500 words. Please describe yourself and tell us how having SCD has affected your life. Include your educational goals, how you expect to achieve them, reason why you think you should receive the scholarship.
Please have all documentation ready when filling out this form. You will be asked to submit your evidence at the end of the application.

All financial assistance will be sent through the school's financial aid office. Disbursement will be provided quarterly or each semester, depending on the institution. The scholarship will be awarded annually continent upon funds. If the applicant has not chosen a trade school, college, or university the application will be put on hold until the educational institution can be verified.

If you have any technical problems with the form or when uploading documents please contact us at info@thescakky.org.
General Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
SCD History
Have blood transfusions been a part of your treatment for SCD?*

YesNo
If yes, tell us about your treatments.*

Less than 250 words0/250
Briefly tell us about your history with SCD. *

Less than 250 words0/250
Education
Current School of Attendance*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Anticipated year of graduation*
Higher Education
Name of the institution for which you are requesting this scholarship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Anticipated start*
Semester and year (ex. Summer 2023)
What is the anticipated financial burden of this institution?*
Do you have a previous work history? Briefly, describe your work history in the last 6 months.*
References
References will be emailed a form similar to this one asking them how they know you, your work habits, character, as well as other information. Please let them know to look for an email from Sickle Cell Association of Kentuckiana.
Reference One*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Reference Two*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Personal Essay
Please describe yourself and tell us how having SCD has affected your life. Include your educational goals, how you expect to achieve them, reason why you think you should receive the scholarship.*

500 word minimum0/1000
Are there any unusual circumstances or burdensome financial issues that have not been addressed that you would like to bring to our attention for consideration?
Documentation*

(1) Letter of verification from a physician of diagnosis of SCD. (2) Proof of enrollment or letter of acceptance from the educational institute for which you are seeking this scholarship. (3) Most recent transcript
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Adult Sickle Cell Warriors Scholarship

Requirements:

Criteria:

General Information

SCD History

Education

Higher Education

References

Personal Essay