KRPMF Scholarship Application and Submission Form May 2024

KRPMF Scholarship Entry
Scholarship Description and Details:

In honor of the late Kayla Ross Perry, the Board of Directors (BOD) of the Kayla Ross Perry Memorial Foundation (KRPMF) invites you to apply for the scholarship for Young Adults Living with Epilepsy who are attending college for the 2024-2025 school year.

All submissions will be reviewed by the KRPMF BOD. The winner will be notified by email and it will be announced on social media by May 10, 2024. The winning application will recieve $1000.00 towards college tuition/expenses.

Scholarship Rules:

To be eligible:

a. You must live in the DC, MD or VA area

b. You must be a freshman enrolled in a two year or four

year accredited college or university

c. You must have at least a 2.0 GPA

d. You must be a graduating senior(2024) at a high school located in the DC, MD, VA area.

e. Lastly, your must either major in creative arts in college or be living with Epilepsy.

Application must include the following:

a. Completed Student Application

b. Write a Short Essay by answering the question: In 500 words(double spaced)describe how you plan to educate your college classmates and college community on Epilepsy and how you would reduce their fears and prejudices?

c. Attach a List if School/Community Activities

d. Attach an official High School Transcript

e. Copy of the Applicant's College Acceptant Letter

f. Proof of Enrollment and major course of study (award letter;registration/official class schedule)

g. Physician Letter of Attestion concerning Epilepsy diagnosis if applicable
Student Applicant Information
Please enter the information for the student applicant below.
Full Name*

First NameLast Name
Initial to attest to the requirements*
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Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
To qualify you must live in the District of Columbia, Maryland or Virginia area and be between 16 and 22 years of age. Additionally, you must be living with Epilepsy.

All submissions must be received by the end of the day on Friday,May 10,2024 by 11:59 pm if submitted via email (electronically). * Submissions mailed by the US Postal Service must have a US Postage Service postmark date of May 10, 2024 including the required attachments. (submissions received after the deadline will not be eligible for consideration). All submissions must include a letter from the applicant's neurologist attesting to the applicant's seizure disorder/epilepsy diagnosis in addition to all required attachments and documents.

*Electronic submissions must be emailed to ejayp@kaylarossperrymemorialfoundation.org with required attachments.

Visit us at www.kaylarossperrymemorialfoundation.org
Date

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Birth Date

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Email
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Final Grade Point Average
Attach an Official High School Transcript*

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Please describe below any community related activities ( for example, church, civic, social, etc) in which you are currently involved and those that youhave been involved in over the past 3 years.
Please describe any school related activities( for example, special academic programs, athletics, club, etc.) in which you were involved over the past three years
Date of High School Graduation

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If yes, which college or university will you be attending? Please give and name and location.
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Attach a copy of Applicant's College Acceptance Letter*

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If no, are you waiting for a response from a college/university regarding acceptance? if yes list the name(s) of colleges/universities
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Attach an additional page if necessary to list or describe activities

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Upload a copy of the acceptance letter to this application*

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Proof of college enrollment (award letter; official class schedule*

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KRPMF Scholarship Entry

Student Applicant Information