Scaffidi Foundation Scholarship

GENERAL INFORMATION

The Scaffidi Foundation Scholarship supports children and adolescents living with childhood cancer by providing funding towards primary or secondary educational fees or extra-curricular activities.

Who can apply?
To apply for the Scaffidi Foundation Scholarship, the applicant must:
– Be a Challenge member or be involved with the Scaffidi Foundation Network
– Have been diagnosed with cancer or a life-threatening blood disorder
– Be aged between 5 and 18 years old inclusive
– Plan to commence or continue education in the year following your application
– Not have previously been awarded the Scaffidi Foundation Scholarship.

You can continue to apply for this scholarship until the applicant no longer meets the criteria.

CONFIDENTIALITY
All information contained within this application will remain strictly confidential.
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)

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!

Scaffidi Foundation Scholarship

About You (the applicant)

Other Information

Medical Information

Referee

The "have I done everything right?" checklist…