2026 Scholarship Application
  • Scholarship Application Form

    Scholarship Application Form

    Application Deadline - October 1, 2026

  • Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before the 31st of October 2026.

  • The top ten applicants will be selected for the next step in awarding these scholarships.  All correspondence and award agreements will be generated from the personal information submitted below.  

  • I. Personal Data

    Tell us about yourself
  • Format: (000) 000-0000.
  • Please check your status at the time of application.
  • What Scholarship are you applying for?
  • Have you submitted an application for this scholarhip in the past?

  • VII. Essay

  • Dr. Carri Cook believed deeply in compassionate care, continued learning, and improving the lives of families through chiropractic and wellness.

    The Dr. Carri’s Legacy Foundation was created not only to support continuing education, but to continue the impact she had on others through service, leadership, and care.

    In 500–750 words, please answer the following:

    How will you carry on Dr. Carri Cook’s legacy through your work, your patients, and your community?

    Please include:

    Why this scholarship matters to you personally
    How do you plan to use your training or certification to better serve others
    A specific example of how you hope to impact families, patients, or your community in the future


    We encourage thoughtful, personal, and authentic responses.

  • 0/750

  • VIII. Applicant's E-Signature

  • By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

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