Association for Education Rehabilitation
of the Blind Visually Impaired
~ Arizona Chapter ~
STUDENT MERIT SCHOLARSHIP APPLICATION
Personal Information
Name: ______
Mailing Address: ______
Phone: ______
Age: ______
Parents’ Names: ______
Educational Program to Be Attended: ______
University/Vocational Program (if applicable): ____
Grade Level and School Attending: __
Please enclose the following items with this application information sheet:
· Two letters of recommendation (one letter should come from the student’s TVI)
· Personal essay written or dictated by the student that describes how attendance at the above-specified educational program will promote achievement of educational or career goals.
· Educational transcript.
· Optional: Vitae or résumé with work experience, honors, and extra-curricular activities.
Name of Student’s TVI: ______
Signature: ______Date: ______
Please mail, or scan and email, the completed application to:
AZ AER Scholarship Project, c/o Diane Shifflett
4521 W. Camino de Cielo
Tucson, AZ 85745
Association for Education Rehabilitation
of the Blind Visually Impaired
~ Arizona Chapter ~
Student Merit Scholarship APPLICATION
INSTRUCTIONS
The Arizona AER Scholarship Project offers a $500 Student Merit Award recognizing an outstanding student with a visual impairment. Applicants must be between the ages of 4-22, have a documented visual impairment, and currently attend a primary, secondary, or post-secondary educational program. The application must be accompanied by the signature of the student’s Teacher of Students with Visual Impairments (TVI), who must be a member of AER in good standing.
In addition to the Application Information Sheet, applicants must submit the following items:
1. Two letters of recommendation, including one from a current TVI and AZ AER member who will act as the applicant’s sponsor, and one from an academic advisor, teacher, or community leader.
2. A typewritten essay of no more than two pages describing the applicant’s educational, professional, and/or personal goals and how this award will help the applicant achieve these goals. If possible, the letter should be composed and typed by the applicant. The letter may be dictated to and typed by the applicant’s TVI if age or presence of additional disabilities require.
3. A certified copy of the applicant’s student transcript from the school or institution in which the applicant is currently enrolled.
4. Optional: Applicants may include a vitae or résumé detailing work experience, extra-curricular activities, and honors if applicable.
Completed applications should be mailed, or scanned and emailed, with the required signature from the applicant’s TVI, to Diane Shifflett at the following address:
AZ AER Scholarship Project, c/o Diane Shifflett
4521 W. Camino de Cielo
Tucson, AZ 85745
Incomplete applications will not be considered. Selection will be based upon evaluation of submitted materials by a committee appointed by the Executive Board of Directors of AZ AER. Applicants will be contacted within one month after the application has been received. Scholarship recipients will be expected to submit a post-program letter that describes the program attended and the benefits it provided, and will be honored at the next Fall AZ AER Annual Conference. For further information, please contact Diane Shifflett, AZ AER Secretary, via email at: .