Application for The Witzel Family Foundation Learning Disablity Scholarship


Form may also be submitted via mail. PRINT APPLICATION

Name:

Date of Birth:
 Example (07/10/1984)

Address:

Phone:

E-mail:

The Witzel Family Foundation grants scholarships to a high school senior with an identified learning disability pursuing post-secondary education/training. The ideal candidate is a high school senior who:

  • Can articulate his/her learning disability, understands how LD affects his/her life, and recognized the importance of self advocacy;
  • Is committed to post-secondary education/training and has begun to set realistic career goals;
  • Has demonstrated perseverance and embraces new opportunities;
  • Will feel comfortable serving as a role model and spokesperson for others who struggle with LD.

Describe your challenges and triumphs in dealing with your specific learning disability.

Address your post-secondary education/training plans and how they will enhance your life and assist you in meeting your goals.

Please list the name and address of the institution you will be attending and tuition for one semester.