Hazyl Diaz Scholarship Application

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Name of Scholarship Applicant
If a school, please insert school name as first and last name format.
Name of person filling out form
If a soccer team, please write NA.
SOCCER TEAMS – Will you or have you flyered in the SPED Department at school?
If not a soccer team, please select NA.
Is the proposed recipient Neurodivergent or (for soccer) do you have a Neurodivergent person on your team?
If none, please write NA.
Do you agree to abide by our terms and conditions as appearing on the Scholarship page?
If chosen, do you agree to continue Hazyl's legacy with dignity, respect, and kindness?