DSAG Scholarship Application Form

DSAG Post-Secondary Education Scholarships will be awarded annually to an individual with Down syndrome and/or their parent or sibling who lives in the DSAG of ETN service area and is continuing their education at a post-secondary program. Scholarship awards will vary in amount, ranging from $500-$3,210, depending on the number of applicants.

Applications must be submitted online by June 1st of the current calendar year.

• Scholarships may be awarded to an individual with Down syndrome or the parent or sibling of an individual with Down syndrome, who is pursuing a post-secondary education.

• Scholarship funds must be used within one (1) year of award and will be paid directly to the institution.

Scholarship Applicant Eligibility Requirements:
- Applicant must be a current DSAG member. Annual dues should be current prior to application submission. Personal connection and/or family involvement in support of DSAG activities or programs is preferred.
- Scholarship amounts are awarded one time only and the scholarship award is not renewable.
- Past scholarship award winners may not re-apply. Past applicants who did not receive a scholarship award are encouraged to re-apply.
- Applications must be submitted by June 1st of the current calendar year.
Award Selection and Evaluation:
- Involvement with DSAG and the disability community
- In addition to meeting the basic eligibility qualifications, applicants will be scored on their demonstrated accomplishments, obstacles overcome, leadership, community involvement, and how your experiences with the disability community reflect the mission of DSAG.
Award Payment:
- The scholarship funds awarded are to be used solely to pay for educational expenses.
- All scholarship awards will be paid directly to the institution by DSAG.
- All scholarship funds must be used within one (1) year of award.
- Applications must be submitted by June 1. Scholarship awards will be announced no later than June 15.

How to Apply:

Scroll down to fill out the application online

Note: The information you provide to us will not be sold to any person or company. We may utilize the information, however, to publicize or to report on our scholarship program, or to comply with any legal requirements. Once submitted, your application becomes the property of Down Syndrome Awareness Group of East TN (DSAG).

Before completing the online application, please make sure that you have collected the required information:
- Current high school transcript or proof of GPA
- Current year FAFSA Submission has been completed
- Combinded household income
- Two Letters of Recommendation- submissions must include two letters of recommendation. The letters must be written by a non-relative who knows the applicant well (i.e. teacher, educational assistant, principal, counselor, consultant, social worker, employer, job coach, clergy member, coach, or community member who is not a family member).
Finally, please note the following:
- Applications and supporting documentation are accepted from Feb 1 to June 1. Applications will not be accepted before or after these dates.
- Scholarship winners will be selected and notified by June 15.
- All applicants will be notified of a decision.
- Not all who apply will receive a scholarship.
- If chosen as a scholarship winner, DSAG may request photos of you on campus to use for social media purposes.
- If you have questions about the application process, please contact our Executive Director at info@dsagtn.org.

Path to Potential Post- Secondary Education Scholarship Application

Supporting Individuals with Ds and their siblings
Legal Name*

First NameMiddle NameLast NameSuffix
Preferred Name (nickname)
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Please list DSAG member name or Name of Sibling with Ds*
Individual with DsSiblingParent

Educational Information
Name of High School Attended*
Address of School*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated*
Date Expected to Graduate*

MonthDayYear
Date
Upload transcript or proof of GPA*

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Degree or Program you intend to pursue*
Name of Intended 2-year or 4-year accredited college or university program*
Address of Intended College or University*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How do you plan to use your education to support the Down syndrome community in the future?What are your goals and how will this scholarship help you achieve your dreams?How does your child or sibling with Ds inspire you?
Please answer below*

0/500

Financial Information
Parent/Guardian Name (of Self if Parent)*

First NameLast Name
Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Family's Household Income*
Number of children in household enrolled in college*
YesNo
Please list any current or pending scholarship awards, the amount and source of payment.
Is there anything else you would like for the scholarship committee to know about you?

Please upload two (2) Letters of Reference: submissions must include two letters of recommendation. The letters must come from a non relative who knows the applicant well (i.e. teacher, educational assistant, principal, counselor, consultant, social worker, employer, job coach, clergy member, coach, or community member who is not a family member).*

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Second Letter of Reference *

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I CERTIFY THAT ALL STATEMENTS OR 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 APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature*
Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty:

Scholarship Applicant Eligibility Requirements:

Award Selection and Evaluation:

Award Payment:

How to Apply:

Scroll down to fill out the application online

Path to Potential Post- Secondary Education Scholarship Application

Educational Information

Financial Information