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Student Disability Resources Scholarship Application Form

Scholarship Applications will ONLY be accepted beginning Sunday, January 15th, 2017 and will continue until Sunday, April 30th, 2017 at 5:00 p.m.

Requirements for Application
You must meet and check all requirements below in order for your application to be considered. Make certain all areas are complete prior to submitting your application:
Registered with SDR:   I am registered with the disability services office at any Penn State campus and meet the criteria for having a disability under the Americans with Disabilities Act, Amendments Act, 2008 and the Rehabilitation Act, 1973. This information will be verified by the disability office.

FAFSA filed:   I have filed a current FAFSA (applicants will not be considered without a current FAFSA in the Penn State financial aid system).

1. Check your Campus Location:  

























2. Are you a Full Time or Part Time Student?  


3. Place below your Penn State level:  




4. Are you a Veteran?  


6. Check if you are majoring in either of the following academic colleges:  



Before proceeding, please read the guidelines and eligibility requirements found at: http://equity.psu.edu/sdr/student-information/scholarships
8. Please choose those scholarships which are applicable to you:
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10. Check your disability, all that apply, that qualifies you for services at Penn State.  
11. Check if you have been diagnosed with any of the following specific diagnoses:
12. Check all items below that apply to how you would utilize the scholarship award:  

IMPORTANT FOR NON-UNIVERSITY PARK STUDENTS:If you attend a campus other than University Park, you must contact your Disability Specialist or your campus Disability Coordinator and ask them to provide a copy of your current Academic Adjustment letter to the Scholarship Coordinator at The Pennsylvania State University, Student Disability Resources, 116 Boucke Building, University Park, PA 16802.


IF YOU ATTEND UNIVERSITY PARK:
If you attend University Park, you do not need to submit your letters because we already have them in our office.