Tasha Dunham Memorial Scholarship

Purpose: To provide financial assistance for college/graduate students either diagnosed with a developmental disability or pursuing higher education to better the lives of those with such disabilities.

Award: Will be determined based on the individual’s application and current funds available.

Eligibility: Individuals must meet the following criteria:

* Accepted to an institute of post-secondary or graduate education.

* Either be diagnosed with a developmental disability or are pursuing a higher education in order to obtain a career in the field of improving the lives of individuals diagnosed with a developmental disability.

* Preference given to residents of Maine.

-  With acceptance of a Tasha Dunham Memorial Scholarship the recipient agrees to allow the TDMS committee to use their name, photo, and story in future publications (such as, but not limited to, website and fliers).

Requirements:

·  Application form along with accompanying essay

·  Two letters of recommendation

·  Official transcripts (high school and/or college)

·  Resume

Please send all materials listed to the address at the bottom of this form by July 1, 2014. Awards are given by August 1, 2014.

An interview may be requested.

Submit application packets to:

Tasha Dunham Memorial Scholarship

C/O Michele Leavitt

324 Tibbettstown Rd.

Columbia Falls, ME 04623

Application for the Tasha Dunham Memorial Scholarship

Name:

High school:

High school grade point average:

College:

Major:

Expected graduation date:

College grade point average (if applicable):

Current address:

Permanent address (if different from above):

Work experience:

Employer Job title/responsibilities Dates

______

Organizations/activities:

______

Essay:

Submit a written essay responding to the following:

Please explain how you meet the criteria of the Tasha Dunham Memorial Scholarship and discuss why the scholarship committee should consider you for a financial award as well as any other information that you want the scholarship committee to consider when making the award decision.

I understand that the scholarship might request additional information which might include documentation of disability, proof of college attendance, and/or an interview. I have completed the scholarship application to the best of my ability and I believe that the information I have provided is accurate.

Signature: Date:

______

Parent/guardian signature (if applicable): Date:

______