Autistic Children's Support Group of Worcester County

Post-Graduation Scholarship Application

Please complete the application form below if you would like to be considered for an annual $500 scholarship for Worcester County (Maryland) residents who have Autism or related disorders. Scholarships are available for individuals who have completed high school or are working toward a GED and are looking for assistance to help pay for education and/or work related expenses.
Alternatively, you may write to us at PO Box 1322 Ocean Pines, MD 21811

Application:

Name:

Email:

Phone: (optional)

By checking this box, I acknowledge that I have Autism and/or a related disorder and live in Worcester County, Maryland:

High School Attended:

If Other, please explain:

Reference Name (ie. Special Education Coordinator, employer, counselor):

Reference Phone (if available):

Please explain how you plan on using the $500 scholarship:

Please explain why you feel you deserve this scholarship:

Please check I'm not a robot

Note: If the Autistic Children's Support Group of Worcester County awards a scholarship to you; you will be asked to provide receipts/documentation to support how the $500 will be used such as college class schedule, bookstore receipts, transportation receipts, occupational training and/or additional job related expenses.

The information provided on this website is for information purposes only, we do not advocate any treatment or any certain physician that may be listed or referenced in the material provided.

Autistic Children's Support Group of Worcester County

Post-Graduation Scholarship Application

ACSGWC: