Sydney Has a Sister Foundation
Supporting Siblings Impacted by Autism
Scholarship Application
PLEASE READ ALL INSTRUCTIONS CAREFULLY.
FILL IN ALL INFORMATION
BELOW. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.
Additional paper may be used.
THE FOLLOWING MUST BE RETURNED WITH THIS APPLICATION. ALL
INFORMATION MUST BE RECEIVED AS A SINGLE PACKAGE.
o
o
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One letter of recommendation from a teacher, counselor, or community member
acknowledging student hardship and/or achievement.
Your creative entries. See below for details.
Your favorite photo of you and your sibling.
APPLICATION DEADLINE IS MIDNIGHT, APRIL 30TH.
Finalists will be announced in May and will
be required to attend the Sydney Has a Sister annual banquet. Applicants must be present to win.
Applicant Name: __________________________________
Best Phone #: ______________________
Current Address: _______________________________ City: ________________ St.___ Zip: ________
Email Address: _________________________________________________ DOB: _________________
Parent Name: _____________________________________ Parent Phone #: _____________________
Parent Email Address: __________________________________________________________________
Current High School: ______________________________________ County: _____________________
Weighted GPA: ________ Unweighted GPA:________ Date of Graduation: ___________________
College, University, or Technical School Attending: ________________________________________
(Scholarship award will be deposited into student school financial aid account upon proof of registration.)
Intended Area of Study: ________________________________________________________________
List academic honors or awards:_________________________________________________________
______________________________________________________________________________________
List any athletic activities in which you participated: ________________________________________
______________________________________________________________________________________
List extracurricular clubs or activities and leadership positions held: __________________________
________________________________________________________________________________________
____________________________________________________________________________________
List community service opportunities in which you participated: _____________________________
______________________________________________________________________________________
Which activity meant the most to you? Why? _____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
What are your goals for the future? ______________________________________________________
______________________________________________________________________________________
Please add any information regarding your activities or employment that you feel is an important
consideration: _________________________________________________________________________
______________________________________________________________________________________
Supporting Siblings Impacted by Autism
______________________________________________________________________________________
Sydney Has a Sister Foundation
Scholarship Application
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CREATIVE PROMPTS
EACH APPLICANT MUST SUBMIT BOTH TOPICS. APPLICANT MAY CHOOSE WHICH TO SUBMIT FOR
THE WRITTEN ESSAY AND WHICH THEY WILL SUBMIT IN VIDEO FORMAT.
Please write and essay on ONE of the topics listed below. Essay must be no more than 250 words (typed) AND
create a 2 ½ minute video addressing the other topic. VIDEO FORMAT MUST BE: .WAV, .WMA, .MOV
Describe, in detail, the challenges and sacrifices you have encountered as a result of having a sibling with autism.
Include coping skills and strategies you have used to help your sibling when they are in a situation of distress.
Autism affects every one differently. People who do not know much about autism make assumptions about the
disability. Please explain how people who live with autism are ‘just like everyone else’.
SUBMIT A COMPLETED APPLICATION PACKET
in the following ways:
Application packets may be submitted via email to sydneyhasasister@gmail.com or by mail to:
P.O. Box 341 Lutz, FL 33548.
ALL PAPERWORK MUST BE SUBMITTED BY MIDNIGHT APRIL
30TH.
I CERTIFY THAT THE INFORMATION INCLUDED IN THIS APPLICATION IS TRUE AND CORRECT. I UNDERSTAND
MY APPLICATION WILL NOT BE CONSIDERED IF I HAVE NOT FULLY COMPLETED THIS APPLICATION AND
ATTACHED ALL REQUIRED COMPONENTS. I UNDERSTAND THE SYDNEY HAS A SISTER FOUNDATION MAY
USE MY CREATIVE SUBMISSIONS (VIDEO & WRITTEN) FOR PROMOTIONAL PURPOSES.
Applicant’s Electronic Signature: ________________________________________________
Parent/ Guardian’s Electronic Signature __________________________________________
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Date: __________
Date: __________