Home
Our Team
Chapters
Hazyl Diaz Scholarship
Awards
Autism Approved Directory
SUPPORT & DONATE
EMAIL US
Hazyl Diaz Scholarship Application
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name of Scholarship Applicant
*
First
Last
If a school, please insert school name as first and last name format.
Name of person filling out form
*
First
Last
Phone Number
*
Email
*
City & State
*
Which Scholarship are you Applying for?
*
Music
Martial Arts
Soccer Team
Why Should you be Chosen to Receive the Scholarship?
*
MUSIC/MARTIAL ARTS – Do you have a clearly defined instrument, instructor, or school you would like to attend? Please share that information
*
If a soccer team, please write NA.
SOCCER TEAMS – Will you or have you flyered in the SPED Department at school?
*
Yes
No
NA
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?
*
Yes
Yes
Any additional comments for the scholarship panel or for We Get It Foundation:
*
If none, please write NA.
Do you agree to abide by our terms and conditions as appearing on the Scholarship page?
*
Yes
No
do MUSIC/MARTIAL TEAMS
If chosen, do you agree to continue Hazyl's legacy with dignity, respect, and kindness?
*
Yes
No
Submit