Scholarship Application Instructions:

Complete the application and submit all requested information on or before the May deadline (TBA). The recipient will be notified by phone prior to the June announcement.
All requested information must be submitted at the same time. Fields with an asterisk [*] are required.

If you would prefer to download, print & fill out a paper form, CLICK HERE.

Scholarship Application

Applicant's Name

Email Address

Phone Number

Street Address

Employer

Birth Date

Date of Diagnosis

PERSONAL RECOMMENDATION: Please submit one personal reference with the individual's NAME, PHONE NUMBER, EMAIL ADDRESS

Submitter's Full Name (if different from applicant)

Anything else we should know?

Date of Submission

APPLICATION CHECKLIST APPLICATION CHECKLIST You must be a breast cancer survivor to be eligible Your application must contain factual information. Falsification of information will disqualify you from the process. Ribbons of Life may require additional information and/or verification. Email your essay to ROL@RibbonsVentura.org and list one personal reference. Date your application Make a copy of all you are submitting.

5 + 9 =

ESSAY: Please complete a one-page essay which answers the following question: “What will I be able to accomplish if I receive this scholarship?
EMAIL your essay to ROL@RIBBONSVENTURA.ORG

Should you encounter any issues with the ‘Submit’ button, kindly double-check the form to ensure that all required fields have been filled out properly.
Our aim is to provide a seamless experience for you, and we appreciate your cooperation. Thank you for your understanding and support.

Scholarship will be awarded on a reimbursable basis.