; One Day You Will LIVE

A Scholarship to provide hope to those who are suffering from Mental Illness and Suicidal Ideation. Experiencing trauma steals so many opportunities from you, Your Future belongs to you.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Information
Name of High School Attended
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated
Date Expected to Graduate

MonthDayYear
Date
Academic awards and/or honors you received in High School
Are you a member of any organization in your school? Please provide information
If you have a GED Certificate for High School Equivalency, please provide the information below:
Date received GED Certification

MonthDayYear
Date
Upload here your GED information

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Are you a member of any organization outside your school? Please provide information
Please provide any academic achievements or awards you have received in College (if there is any)

Financial Information
Are you a dependent of your Parents?

YesNo
Have you tried applying for scholarships with other organizations previously?

YesNo
Any information that might support your answer above
Have you tried applying for financial aid?

YesNo
Any information that might support your answer above
Please provide an email for your recommendation:
example@example.com

"One day your life won't be about your trauma, one day you will live." Please write an essay providing your interpretation of this quote and how it applies to you directly. (350 word min)
Upload your Essay

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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

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Name of Applicant

First NameLast Name
Date Signed by Applicant

MonthDayYear
Date
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