Choose to Include Scholarship!

Amount of Scholarship Award:

$500

Additional Recognition:

Recipient(s) will be invited to attend Unified Champion Schools Youth Activation Summit. The details of their nomination may be kept private per request.

Eligibility Requirements:

High school freshman, sophomore or junior

Considerations:

Demonstrate commitment to building an inclusive community and/or bullying prevention in their school and community.

Scope:

Applicants participating in Unified Champion Schools Strategy and/or Special Olympics Illinois Unified Sports will be given significant consideration. At minimum, one scholarship will be awarded to this type of applicant. Donors may designate additional scholarships within their community.

Qualified Applicants:

Must be a high school freshman, sophomore or junior.
Preference given to applicants participating in Unified Champion Schools, Unified Sports, or Special Olympics Illinois activities.
Must be nominated by a member of staff/faculty of student High School or Special Olympics Illinois or by a parent of a Special Olympics Illinois athlete.
Demonstrates commitment towards building an inclusive culture and/or bullying prevention in their school and community.

Today's Date*

Student Contact Information

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Parent/Guardian Contact Info

Name*

First Last

Email*

Phone*

High School Information and More

Name of High School*

High School

List of Extracurricular Activities in High School*

Anticipated College or University*

Name of University

Anticipated Major*

Field of Study Being Pursued

Recommendation Letter Info and Essay

School Staff or Unrelated Adult Writing Letter*

Full Name Email Address Phone Number

Upload Recommendation Letter Here*

500-1000 Word Essay*

•Describe how your accomplishments relate to the mission of creating an inclusive community and/or ways you have proactively helped to lessen all forms of bullying within your school community and additionally reflect on the impact of your actions to your classmates, community and/or yourself.

Social Media (Optional)

Link to your social media profile:

If you choose to do so, please insert a link to your preferred social media platform. (Facebook, Twitter, or Instagram)

Final Statement

Would you like to keep your terms of nomination private?*

Yes
No

Scholarship Terms and Conditions:

To the best of my knowledge and belief, there is no reason that would prevent my being eligible to receive the above-named scholarship. The Special Olympics Illinois Foundation, its Scholarship Committee, and its staff, have my permission to review my academic information and documents for the purposes of verifying my eligibility for this scholarship.

Have you read the above statement and do you accept the terms?*

I have read and accepted the above statement and understand that incomplete applications will not be considered.
I have not read nor accepted the above statement.