REQUIREMENTS/DOCUMENTS REQUIRED

  1. The Jeremy Cares Inc. Scholarship – RENEWAL APPLICATION (This Survey Monkey).
  2. If a high school senior – a sealed high school transcript and letter of acceptance from college of anticipated enrollment. If current college student – a sealed letter of good standing or transcript from college/university. Please send to megan@jeremycares.org.
  3. Applicant must submit two digital photos of their choice.  Please send to megan@jeremycares.org.
  4. Please submit a short essay describing how your experience with cancer has impacted your education, dreams and career goals. Short or long – we just want to learn about YOU! Please send to megan@jeremycares.org.
  5. Letter of Recommendation are optional, but STRONGLY encouraged.  These can be from anyone, however a non-relative is preferred.  Pleasesend to megan@jeremycares.org
  6. Medical statement from your healthcare provided.  Please send to megan@jeremycares.org.
  7. Sign and scan the permission section of the application to megan@jeremycares.org
     
     
    Make sure to put your name and the document name in the subject of the email.
     

    Mail a sealed transcript/letter of good standing to Jeremy Cares Inc., PO Box 84, Avon Lake, Ohio 44012 postmarked no later than February 15, 2020. Questions can be directed to Megan Kuhlenschmidt at megan@jeremycares.org

Question Title

* 1. Full name

Question Title

* 2. Address including city, state, and zip code

Question Title

* 3. Primary phone

Question Title

* 4. Email address

Question Title

* 5. Parent/Secondary Contact Name and Phone Number

Question Title

* 6. Date of birth

Date / Time

Question Title

* 7. Are you a US citizen?

Question Title

* 8. Date of diagnosis

Date / Time

Question Title

* 9. Diagnosis

Question Title

* 10. Hospital where you were/are treated

Question Title

* 11. Attending Physician
(Remember to submit the Medical Statement via megan@jeremycares.org)

Question Title

* 12. Physician contact phone number

Question Title

* 13. How did you hear about this scholarship?

Question Title

* 14. Current GPA

Question Title

* 15. list all and any secondary schools attended

Question Title

* 16. College/University you attend or plan to attend in the fall

Question Title

* 17. Intended or current course of study

Question Title

* 18. Estimated credit hours applicant will per taking per quarter/semester

Question Title

* 19. College ID/Bursar Number

Question Title

* 20. List any school or community related activities or employment you want us to know about below.   Include any volunteer service, leadership positions, awards, and / or recognition, or something we may have missed in our questions above.   Don’t be shy or afraid to brag!

T