Students who meet the eligibility criteria must submit the following documents together in one package postmarked no later than Monday, December 15, 2008.
* Winners will be asked to provide a photograph.
Mail all application materials (items 1-4 stated above) in an envelope postmarked by Monday, December 15, 2008 to:
Attn: Scholarship Committee
If you have any questions, please contact Ashley Brown at 512-795-4308, or toll free (877) 246-7321.This application packet is available on CD upon request.
To be eligible for consideration, candidates must meet all five criteria:
Application:
Please type or print clearly using a blue or black pen.
Your Name: ______________________________________________________ Date of Birth: ______/______/______
RFB&D Member ID # (if known) ____________________ Documented disability?_____________________
Parents’ Names _______________________________________________________________________
Your Home Address:
County:____________________ Zip Code:___________________ Telephone_________________________
Alternate #____________________________ E-Mail Address: ______________________________
The school you are currently attending: __________________________________________________________________
School Street Address: ____________________________________City:___________________St._____
County:_________________ Zip Code:_____________________ Telephone #: _____________________
How are you registered with RFB&D? Individual Membership ______ School Membership _______
Grade level _____________Overall GPA _____________ Recent Semester/Quarter Grade Point __________
Personal Statement:
Please type your name on
your personal statement. The essay
should be no longer than two double-spaced pages. A parent or teacher may help
with typing the essay but the content must be the student’s original work. Write
an essay in response to one of the following:
Describe how you handled your school work before RFB&D. How did you learn about RFB&D? What kind of difference has using RFB&D’s Audiobooks made for you?
~ or ~
How would you explain to students with print disabilities the reasons they should try using audio books? What should be done to help other students, teachers or family members become more aware of the many intelligent students who cannot effectively learn from reading books, and how audio books help these students achieve success?
Additional Information:
On an additional
sheet of paper please include the following:
1)
List a
few of the RFB&D Audiobooks you have used in the past (no more than five)
2)
List any
of your achievements or accomplishments
3)
List extracurricular or community activities in
which you are involved
Signature:
With your signature, you pledge the following:
Signature:
_______________________________________Date:
_______________________
Signature of
parent/guardian: (required if applicant is
under 18 years of age)
Signature: _______________________________________Date: _______________________