Bridge to Tomorrow Scholarship Application Form

Empowering Neurodiverse Youth Through Education and Opportunity.

All scholarship applications must be submitted 30 days before the end of the quarter in which they will be awarded.

Scholarship deadlines:

March 31 (End of Q1)
June 30 (End of Q2)
September 30 (End of Q3)
December 31 (End of Q4)

Note:

You must be a U.S. citizen to apply for the B2T Scholarship.
All requested supporting documents must be submitted; otherwise, your scholarship may be rejected for missing or incomplete documentation.

Scholarship Quarter Requested *

Is the Applicant under 18? *

Parent/Guardian Name

Relationship to Applicant

Parent/Guardian's Phone *

Parent/Guardian's Email *

Applicant Name (Last, First) *

Applicant's Date of birth *

Applicant's Street Address *

Applicant's City *

Applicant's State *

Applicant's Phone

Applicant's Email

Applicant's Current School/Program Name

Current Academic Grade Level

Amount Requested

Additional Detail On How The Scholarship Will Be Used

Personal Statement*

Please attach a typed essay (500 words or fewer) answering the following:

Tell us about yourself and your educational journey.
How will this scholarship help you achieve your goals?
Share an example of how you’ve overcome challenges in your learning journey.

You may also type your statement and submit it below with the other supporting documents. If you do please write attached below.

Supporting Documents *

Please include the following:

Identity verification
a. Both Parent/Guardian's Driver's License or State ID or Divorce/Parent Agreement
b. Birth Certificate(s) for students
Proof of Income
a. Last 90 days' pay stubs (all working household members)
b. Employer verification letter (if applicable)
c. Most recent tax return (required for self-employed applicants)
d. Documentation of additional income:
i. Unemployment
ii. Social Security / SSI / Disability
iii. Child Support / Alimony
iv. Other if applicable
Financial Resources (If applicable)
a. Documentation of additional assets (if applicable):
i. Investments (stocks, bonds, retirement accounts)
ii. Property ownership
Section 4: Proof of Residency
a. Current lease agreement or mortgage statement
b. Most recent utility bill (electric, water, etc.)
Household Expenses
a. Please fill out the sections below on average, rent/mortgage, utilities, childcare, and medical expenses.
Additional Documentation
a. School enrollment verification
b. Individualized Education Plan (IEP) or related educational documents
c. Medical or disability documentation (if applicable)
d. Court orders or custody documentation (if applicable)
e. A signed letter of recommendation from a teacher, coach, or community leader.

If these items are not uploaded, your application is not likely to be approved

Click to upload

PDF, DOCX, DOC, JPEG, JPG, PNG, XLSX, XLS or CSV ( max 25 Files )

Please confirm you uploaded ID for both Parents/Guardians or State ID or Divorce/Parent Agreement *

Please confirm you uploaded Birth Certificate(s) for Student(s) *

Please confirm you uploaded the last 90 days of pay stubs (all working household members) *

Please confirm that you uploaded your employer verification letter (if applicable)

Please verify that you uploaded the most recent tax return

Required for self-employed applicants

Please verify you uploaded documentation of additional income (if applicable)

Can include, but not limited to, unemployment, Social Security / SSI / Disability, Child Support / Alimony, Other

Please verify you uploaded documentation of additional assets (if applicable)

Can include, but not limited to, investments (stocks, bonds, retirement accounts), property ownership, etc.

Please verify you have uploaded your current lease agreement or mortgage statement *

Can include, but not limited to, investments (stocks, bonds, retirement accounts), property ownership, etc.

What is your current rent/mortgage monthly payment? *

What are your current utility expenses (average monthly) *

What are your current average monthly childcare expenses (If applicable)

What are your current monthly medical expenses (If applicable)

Please verify you have uploaded the student enrollment verification, such as an enrollment contract or current school invoice *

Please verify you have uploaded a current copy of your child's IEP, 504, or other educational support documents *

Please verify that you have uploaded any relevant medical or disability documentation *

This commonly includes a diagnosis

Please verify you have uploaded any relevant court orders or custody documentation (if applicable)

This commonly includes a diagnosis

Acknowledgment and Consent *

By typing your name below, you certify that the information provided is true and complete to the best of my knowledge. I authorize the Bridge to Tomorrow Foundation to verify any information contained in this application.

Response Copy

Send me a copy of my responses