DELAWARE COUNCIL OF THE BLIND AND VISUALLY IMPAIRED

JOHN CAHALL MEMORIAL SCHOLARSHIP FUND

Dear Scholarship Applicant:

We are happy that you are interested in applying to the Delaware Council of the Blind and Visually Impaired's Scholarship Fund for assistance with your education and/or training plans. This year's scholarship in the amount of $500 will be awarded to a legally blind Delaware resident who is pursuing post-secondary education or training. The scholarship can be used for training costs, tuition, fees, books, course materials or supplies, or necessary assistive technology. Please note that the scholarship check will be made payable to the recipient's school or to the vendor of the books, course materials, supplies, training, or assistive technology.

Please read the application carefully and submit all requested information, references, and documentation to:

DCBVI Scholarship Committee

c/o Sharon L. Sutlic

49 Abbey Road

Newark, DE 19702

The application deadline for this year's scholarship is April 30, 2011. Only complete applications received by this date will be considered. If you would prefer to have the application in alternative format, please contact the Scholarship Committee. Applications will be accepted in alternative format; however, all supporting documentation should be submitted in print.

Delaware Council of the Blind and Visually Impaired is an affiliate chapter of the American Council of the Blind whose mission is to "strive to increase the independence, security, equality of opportunity, and quality of life for all blind and visually impaired people". Membership in DCBVI is not a requirement to be considered for this scholarship. We do encourage all applicants to learn more about Delaware Council of the Blind and Visually Impaired and invite you to attend any of DCBVI's monthly meetings.

If you have any questions or would like more information, please call me Monday through Friday from 8 a.m. to 4 p.m. at (302) 655-2111 or e-mail me at slsutlic@comcast.net.

Sincerely,

Sharon L. Sutlic

DCBVI President

DELAWARE COUNCIL OF THE BLIND AND VISUALLY IMPAIRED

JOHN CAHALL MEMORIAL SCHOLARSHIP FUND

SCHOLARSHIP APPLICATION

Please complete and forward with all requested information to:

DCBVI Scholarship Committee

c/o Sharon L. Sutlic

49 Abbey Road

Newark, DE 19702

APPLICANT'S NAME: ___________________________________________

ADDRESS: ___________________________________________________

PHONE: (HOME) ____________________ (WORK) ____________________

DATE OF BIRTH: _________________________

Are you currently attending school? _____ YES _____ NO

If attending school:

NAME OF SCHOOL: ____________________________________________

ADDRESS: ____________________________________________________

COURSE OF STUDY: ____________________________________________

EXPECTED DATE OF COMPLETION: _________________________

ADVISOR'S NAME: ____________________________________________

If you are not currently attending school or are currently attending high school, in what post-secondary educational or

training program are you planning to enroll?

_________________________________________________________

On a separate sheet of paper:

State briefly your educational or training goals.

Other than your blindness or vision loss, what has been the greatest challenge in educating yourself and what strategies have you used to meet this challenge?

Specifically, how would this scholarship help you in achieving your educational or training goals?

Are you receiving other grants from other sources or groups to help with the cost of your education or training? Specify.

Please submit with your application signed documentation which verifies that you are:

1. A registered legally blind consumer of the Delaware Division for the Visually Impaired.

2. Currently enrolled in or will be enrolled in a post secondary educational or training program.

References: Please submit two letters of recommendation, one from a teacher or counselor who has worked with you recently and a character reference from a person who is not related to you.

I certify that the information I have provided on this application is accurate and true.

______________________________ ____________________

APPLICANT'S SIGNATURE: DATE:

APPLICATION DEADLINE: April 30, 2011

AWARD DECISION TO BE MADE BY: June 1, 2011