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Hazyl Diaz Scholarship Application
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Please enable JavaScript in your browser to complete this form.
a Why at
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?
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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
No
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
If chosen, do you agree to continue Hazyl's legacy with dignity, respect, and kindness?
*
Yes
No
Submit