KSBCF WILL EVANS SCHOLARSHIP APPLICATION

Requirements for submission of scholarship applications:

  • Application Deadline: Applications are due no later than July 1 of each year.
  • To be eligible for consideration, the applicant must meet the Kentucky Office for the Blind criteria for educational or vocational services.
  • Applicant must be blind or visually impaired and a current resident of Kentucky.
  • School transcripts must be provided with the application.
  • Letters of recommendation are required from school personnel or from the applicant's Kentucky Office for the Blind counselor.
  • Incomplete applications and/or applications without supporting documents will be returned.

Name: ________________________________________ Birth Date: _____ / _____ / _____

Address: ________________________________________County: ____________________

City: ____________________________________ State: __________ Zip: ______________

Phone: (home) _________________(work) _________________ (cell) _________________

E-mail: ____________________________________________________________________

Eye Condition / Acuity: _______________________________________________________

High School Applicant:

School/Program (currently attending): ___________________________________________

Anticipated date of graduation/completion: ___________________ GPA: ______________

School/program you will be attending next year:

_________________________________________________________________________

Have you been accepted by the above school/program? YES _____ NO _____

Course of Study (goals): _____________________________________________________

College/Vocational Applicant:

School/Program (currently attending): ___________________________________________

Anticipated date of graduation/completion: ___________________ GPA: ______________

Course of Study (goals): ______________________________________________________



Are you a client of the Office for the Blind (OFB)? YES _____ NO _____

If YES, please list the name of your OFB counselor: _______________________________

Has funding been requested from any other source? YES _____ NO _____

If YES, list the organizations or agencies to which you requested funding:

___________________________________________________________________________

What is the status? Pending _____ Funded _____ (Amount $________) Not Funded _____

If not funded, please list the reason for denial of funding: ____________________________

___________________________________________________________________________

Please list any special achievements and awards: _____________________________

_________________________________________________________________

_________________________________________________________________________

Extra-curricular activities and volunteerism: _______________________________________

___________________________________________________________________________

___________________________________________________________________________


Please include any leadership roles in which you served: ____________________________

___________________________________________________________________________

___________________________________________________________________________

Briefly state how this scholarship will assist your educational goals:

__________________________________________________________________________

__________________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

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I state that I answered the above information accurately and to the best of my ability.


Signature of Applicant: ___________________________________ Date: ______________


Please submit this application to:

Kentucky School for the Blind Charitable Foundation, Inc.
Attn: Will Evans Scholarship Committee
214 Haldeman Avenue
Louisville, Kentucky 40206

Fax: (502) 897-3194 | E-mail: contactus@ksbcf.org | Phone: (502) 897-3990