Scaffidi Foundation Scholarship

ABOUT US

The Scaffidi Foundation was established in 2003, in honour of two remarkable women. Norina and Cathy Scaffidi, mother and daughter, lost their battles with breast cancer in 1998 and 2002. The two women shared an amazing gift – the ability to touch people’s hearts. Both women were dedicated to helping people battling illness, Cathy through her work as a naturopath and Norina in her special role as everyone’s favourite ‘second mum’.

WHAT WE DO

We have been assisting families of children battling cancer in a variety of different ways for more than eight years.

Our support is provided via:
– The Scaffidi Foundation Scholarship to help fund primary or secondary educational fees or extra-curricular activities for a student impacted by cancer
Can I apply for the Scaffidi Foundation Scholarship?

To be eligible for the Scaffidi Foundation’s Scholarship, you must:
– Be a Challenge member or be involved with the Scaffidi Foundation Network
– Be aged between 5 and 18 years old inclusive
– Plan to commence or continue your education in the following year after application
– Have been diagnosed with cancer or a life-threatening blood disorder
– Not have already been awarded the Scaffidi Foundation Scholarship
Who reads the stuff I write on here?

Your privacy is important to us. Anything on your application form will only be read by the scholarship judging panel. Our panel is made up of members of the Scaffidi Foundation committee of management.
About You (the applicant)
Name*
First Last
Address*
Street Address Address Line 2 Suburb State / Province / Region ZIP / Postal Code Country
Date of Birth*
DD slash MM slash YYYY
Gender
Telephone (H)
Phone (M)*
Email*
Are you currently enrolled in part-time or full-time education?*
Yes
No
What School or Institution are you enrolled in?*
Are you currently in part-time or full-time employment?
Yes
No
What type of work are you doing?
Employer's name and contact number (if applicable)

Other Information
Have you ever received, or are you due to receive any other financial support during the time you are studying? If yes, please provide relevant details.*
If you are successful in receiving The Scaffidi Foundation Scholarship, how would you spend the funds to help you with your education? This may be in the form of helping fund primary or secondary educational fees, equipment or extra-curricular activities for a student impacted by cancer. (Please be specific).*

Medical Information
Diagnosis*

Date of Diagnosis*
DD slash MM slash YYYY

Duration of treatment*

Hospital*

What impact did your diagnosis have on you? (50-300 words)*
What are you into? (50-100).
Referee
Please complete the following details for someone who has known you over the duration of your diagnosis e.g. your GP, oncologist, social worker or teacher.

Referee Name*
First Last
Position

Organisation

Referee Contact Number*
Referee Email*

Website

We would love to how you found out about the Scaffidi Foundation Scholarship. Please tick one of the following:
Challenge
Royal Children’s Hospital
Monash Hospital
Newspaper
Other
If you have any questions regarding the Scaffidi Foundation Scholarship, please contact Kailey Brown.

Phone: 03 9329 8474

Email: mail@challenge.org.au

Please note that the successful applicant will be asked to provide a brief statement at the end of their scholarship term regarding the Scaffidi Foundation’s support.

The Scaffidi Foundation also requests that a select amount of information from the successful applicants’ application form may be used without identification, or with the identification upon approval, for promotional purposes within all publications and informative material. No information will be used without consultation and consent.

Please note that in the event that your application is successful, any funds granted must be spent on the items you specified in the application.

I, the legal Parent/Guardian of the child in which this application form is for, hereby endorse and support this application and confirm that all the information provided in this document is true and accurate.
Signature of Parent/Guardian

Signature of Applicant

The panel will make a decision based upon the information provided within this application form and from your referees. Please be as descriptive and as honest as possible. All information provided is strictly confidential. The successful applicant will be informed via phone.
The "have I done everything right?" checklist…
Ok, so now that you have completed your scholarship application form and you are about to send it to us, why don’t you take two minutes to check that you have included all of the right information? To make this a little easier for you, we have added a little checklist for you below – see, easy!

• I am eligible to apply for the Scaffidi Foundation scholarship
• I have answered every question to the best of my ability
• I have included contact information a referee
• I have signed the application form
• My parent/guardian has signed the application form
• I won’t send it off and say – ‘I wish I told them….’

Good luck!

The Scaffidi Foundation Scholarship

About You (the applicant)

Other Information

Medical Information

Referee

The "have I done everything right?" checklist…