2024 Memorial Foundation Asthma Scholarship Award

The deadline to apply for the award is March 1, 2024. Make sure you have requirements ready for upload, (personal statement, recommendation letters, physician report). Please contact Connie Mawer, Executive Director, TAAIS Memorial Foundation, with questions at cmawer@taais.org or (512) 451-6108.

Applicant Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Date of Birth*

Applicant's Name of High School*

High School Address*

Street Address Address Line 2 City State ZIP Code

Applicant's Graduation Date*

Have you been accepted to any colleges or universities by submission date?*

Yes

No

If yes, which ones? Please include locations.

Which one will you attend?

How did you hear about this scholarship?

PERSONAL STATEMENT (upload a pdf or mp3)

a) Explain the impact your asthma has had on your life. Include factors such as limitations you have experienced from your asthma, the severity of your asthma, and how you have overcome these challenges. Tell us how asthma has affected you inside and outside of school. This may be through an essay (650 words or less, typed), video (3 minutes or less), art, poetry, music (3 minutes or less), and more - BE CREATIVE! If you have questions about this, please contact us! OR b) Discuss a current issue related to asthma (burdens of care/treatment, environmental concerns, technology and asthma care, school policy effect on asthma care, sports and asthma, etc). Consider different viewpoints on asthma and its effects on society. Similar media may be used as mentioned above for this option.

Personal Statement Upload (pdf or mp3)*

Accepted file types: pdf, mp3, mp4, Max. file size: 512 MB.

Attach your personal statement in one format: 1) an essay (650 words or less, typed), 2) video (3 minutes or less), 3) art, poetry, music (3 minutes or less) Note: maximum file size is 500 MB BE CREATIVE! Please only upload pdf file or mp3 file.

RECOMMENDATION LETTERS

Counselor Recommendation Letter*

Accepted file types: pdf, Max. file size: 512 MB.

Please upload letter as a pdf

Teacher or Community Adult Recommendation Letter*

Accepted file types: pdf, Max. file size: 512 MB.

Please upload letter as a pdf

PHYSICIAN REVIEW

Please attach the physician report as a pdf. Link to form is on application instruction page.

Physician Report

Max. file size: 512 MB.

Please make sure physician has signed report.

TERMS AND CONDITIONS

PLEASE NOTE: All information provided in this application is confidential. Only applicants that have completed the entire application along with all of its requirements will be considered. Please send all questions to cmawer@taais.org Thank you!

Type Applicant's Name for Signature*

Type Parent's Name for Signature*

Today's Date*

PLEASE NOTE: All information provided in this application is confidential.

Only applicants that have completed the entire application along with all of its requirements will be considered. Please send all questions to cmawer@taais.org Thank you!