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Team Type 1 Foundation

scholarship application

1.First Name
2.Last Name
3.Date of Birth
Date / Time
4.Gender
5.Parent/Guardian Name
6.Parent/Guardian Phone
7.Parent/Guardian Email
8.Applicant email
9.Applicant phone
10.Mailing Address
11.High School Name
12.High School Address
13.Current Grade Point Average
14.University/College attending (or planning to attend)
15.University/College Student ID
16.Address and Phone # to send the scholarship check. Please check with your school.
17.The next school year, I will be a:
18.Will you be an athlete in the NCAA/NAIA during the next school year?
19.Have you signed an official commitment?
20.If Yes, what sport will you be playing in?
21.What organized sports do you currently participate in, and when? (Sport Played, Team Name, Current Competition Level, and Date Played).
22.List your major athletic achievements in the last 3 years (include competition, team, dates, and results/ranking):
23.Academic Awards/Honors and Community Service Activity/Awards (Recommendation letters from coaches/teachers are accepted):
24.What is your latest HbA1c (include the units):
25.Provide details of any financial support you are receiving from any other organization (including your college/university):
26.Please write an essay in your words answering the following questions:

Please describe your athletic goals for next three years



Please describe your academic goals:



Please describe your community service activities:



How will this scholarship benefit you?



Why do you believe you are the best candidate for this scholarship?



How many years have you had type 1 diabetes?
What do you remember most from when you were diagnosed with type 1 diabetes?
Current Progress,
0 of 26 answered