Love Them Forward: Lindsay Nixon Memorial Scholarship Application

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Please complete the information below to apply for a scholarship. Applications are open November 1st - December 5th and scholarships will be awarded in January. The applicant must have a disability and the activity must be an extracurricular activity that is not paid for by other means such as insurance, grants, or schools.

Email *

First & Last Name of Applicant for Scholarship *

Name of person completing request *

Relationship to individual who will benefit from the scholarship *

Best contact phone number *

Email address *

How old is the applicant? *

Does the applicant have a disability? If so, please describe. *

What extracurricular activity is the applicant wanting to participate in? *

What is the total cost for the activity?

Have you explored other avenues to help pay for this activity? Please explain. *

Briefly describe why the applicant would be a good candidate to receive the Love Them Forward Scholarship. *

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