Moebius Syndrome Foundation Educational Scholarship Application

This spring the Moebius Syndrome Foundation will award four educational scholarships of $2,000 each, to individuals who have Moebius syndrome and will be attending an undergraduate college/university/post-secondary vocational school.

Three scholarships will be awarded to undergraduates and one to a graduate student!

Applications must be received by April 30, 2021.

*Please submit the following application. If you have any questions, email Kevin Smant at ksmant@gmail.com.

Educational Scholarship Application

Name
First Last
Date of birth
Date Format: MM slash DD slash YYYY
Home address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Post-secondary institution at which you are enrolled or have been accepted
Post-secondary institution address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Major
List honors/distinctions you have received
Career intentions
Volunteer/Community activities
Hobbies/Interests
Employment (List all jobs you've had in the last 3 years and the number of hours worked per week.)
Estimate education costs for the next academic year
Tuition/Fees
Room & board
Books/Supplies
Upload the following files: (• a one page essay on why you should receive this scholarship; • two letters of reference from teachers, employers, etc.; • a transcript from your high school or college/university/post-secondary institution; • a recent photo)
Drop files here or
These files can also be emailed directly to ksmant@gmail.com. Please label each file with your name for easy identification.
Acknowledgement*
- I attest that all information submitted is true and accurate. I understand that if I am granted a scholarship I will permit my name and photograph to be used for publicity to further the mission of the Moebius Syndrome Foundation. I understand that this scholarship is competitive and there is no guarantee that I will receive an award.
Signature (or guardian if under 18 years of age)*
Date
Date Format: MM slash DD slash YYYY

Save and Continue Later

The Home for the Moebius Community TM

Educational Scholarship Application

Estimate education costs for the next academic year

The Home for the Moebius Community ^TM