Culpepper Exum Scholarship for People with Kidney Disease
Beth Witten, nephrology social worker, established the Culpepper Exum Scholarship for People with Kidney Disease as a memorial to her brother who had diabetes and was on dialysis prior to his death from heart disease in 2002. This scholarship is intended to help two deserving dialysis or transplant patients attend any accredited educational program. The award is for $1,000 per scholarship for one school year paid directly to the institution. Two scholarships will be awarded this school year—one to a Kansas resident and one to a Missouri resident. Applications are due to the National Kidney Foundation Serving Kansas & Western Missouri no later than May 16, 2017 and will be considered by an appointed committee. Scholarship recipients will be selected after each completed application is reviewed and finalists are interviewed.
You are eligible to apply for this scholarship if:
You are at least 17 years of age
You have been diagnosed as a kidney patient
You reside in Kansas or Missouri
Please complete the application as fully as possible. If you cannot complete any question on the application, write "N/A" and explain this answer on a separate page. Take your time to consider your answers carefully and write or type your answers clearly and neatly.
Please include the following with your application:
Two letters of recommendation from the following options:
Current/former employer (paid or unpaid) or co-worker
Healthcare professional (physician, social worker, nurse, etc.)
A copy of your most
high school, college or trade school transcript
Proof of enrollment in your college/university trade school or continuing education course.
If you attended or graduated from an educational institution within the last 5 years, please ask an official from that educational institution to complete the attached Educational Institution Form.
Applications must be postmarked or submitted online by May 16, 2017. Please mail or fax the completed signed application with the narrative, two letters of recommendation, and the acceptance letter to:
National Kidney Foundation
ATTN: Scholarship Program
6405 Metcalf Avenue, Suite 204
Overland Park, KS 66202
FAX: (913) 722-4841
For more information call (913) 262-1551, Ext. 473
Scholarship recipients will be notified by June 1, 2017