Scholarship Application

To be eligible for a Dream Come True Scholarship, you must meet the following guidelines.  Please remember that not all applicants will be awarded scholarships even if you meet all of the listed guidelines.  Scholarships will be awarded at the sole discretion of the DCT – Blue Ridge Chapter Board of Directors.

• Student must have been a recipient of a dream from DCT – Blue Ridge Chapter.
• Student must be enrolled in an accredited institution of higher education including trade school.
• New students must provide a letter of acceptance to the school.  The scholarship will be paid upon receipt of proof that tuition has been paid by the student or the student’s family for each semester.
• Student must submit a completed scholarship application each semester.
• Approved students will receive $500 per semester for a maximum of 4 years ($4,000).
• Scholarship funds must be used to pay for books, supplies or other incidentals such as room & board, computers, student activity fees.

* All fields are required
Applicant/Student
Applicant's Name:
Street Address:
City:	State:	Zip:
Your E-mail:
Telephone: (ie. 610-123-4567)	S.S.#:
Date of Birth: (ie. 01/23/1945)	Gender: M F
Parent/Gaurdian's Name:
Street Address:
City:	State:	Zip:
Phone Number:

Higher Education
Name of School you plan to attend:
College/University Address:
Anticipated Graduation Date:
Proposed Use of Scholarship Funds:
Have you been accepted?	Yes Awaiting Acceptance Have not yet Applied

Financial Information
Approximate annual cost for college:		$
	Tuition:	$
	Room & Board:	$
	Other Expenses:	$
	TOTAL:	$