Gary Schwarze Memorial Scholarship Application Form Logo

  • Gary Schwarze Memorial Scholarship (2025)

    The information provided on this form will be used by the Urban Fit Kids Board to select recipients for scholarships. This scholarship is for applicants who displays resilience by currently being diagnosed with Type I or Type II Diabetes. It is important that you give complete details concerning your college/career plans, activities, medical and financial information.

  • BASIC INFORMATION

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  • Academics

  • School you are planning to attend

  • Major(s)/ Field of Study You Are Considering

    In order of preference, list the major(s) you are considering and why you chose your field of study (50 words or less).

  • Estimated cost

  • PERSONAL DATA:

  • Medical References:

    I verify that I am currently diagnosed with Type I or Type II diabetes as verified by a medical professional. Please verify by uploading one of the following documents: A doctor's note/ letter or medical certificate stating you have Type I or Type II Diabetes
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  • Financial Information (If Applicable)

    This scholarship is awarded based on merit, including academic achievements and other accomplishments. Financial information is not required to be submitted with your application. However if you are selected for the scholarship, you may be asked to provide documentation at that time. If your financial circumstances change after applying and you have concerns, please feel free to contact us. A member of our team will respond promptly. Visit www.urbanfitkids.org/contact, or email Jazmine Martin at info@jazzykat.net.

  • Please upload a copy of FAFSA balance summary or personal statement to indicate you have a financial need.

  • SCHOOL / COMMUNITY ACTIVITIES /ETC:

    Please provide evidence of participation in extra-curricular such as volunteer work or diabetes advocacy (this can be a certificate or proof of volunteer hours, etc.) If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. Attach an additional sheet or resume if necessary.
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  • Please indicate below the organizations and or attach supporting documents.

     

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  • Essay Questions

    On a separate sheet of paper(please print or type), unless there is adequate space below.  Please choose one of the following topics to answer for an essay question to display your goals and more about who you are. Minimum length: 300 words. 

     Essay Topics (Pleae choose one to write about) 

    1.  Academic goals: Describe in detail your academic goals, intended course of study, future career aspirations. How has living with Type  I or II Diabetes inspired you to take this career path? How will this scholarship help you pursue your education and make an impact?  


    2. Personal Testimonial- Describe your journey living with Type I or II Diabetes and how this condition shaped your identity, dreams and goals. What challenges or obstacles have you faced or overcome? How has living with this condition caused you to be an advocate for diabetes awareness and make an impact? 

     

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  • Confidentiality Agreement

    By submitting this application, you acknowledge that applying does not guarantee selection for the scholarship. All personal information (including financial and medical details) will only be accessed by authorized members of Urban Fit Kids, a 501(c)3nonprofit organization, and remains completely confidential. If it is determined that you do not meet the eligibility requirements, you agree to repay the full amount awarded to Urban Fit Kids, subject to review in exceptional circumstances (such as health or administrative errors). 
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