Educational Scholarship Application

Educational Scholarship Fund

MCB scholarships support legally blind Missouri residents pursuing post-secondary education, technical school, or certified training programs.

$2,000

MCB members

$1,000

Non-members

May 1

Application deadline

Eligibility: Legally blind Missouri residents enrolled in or considering admission to post-secondary training programs, technical schools, or certified training institutions. Minimum GPA: 2.0.

Applications available: After January 1 each year.

Scholarship Program Details

Required field — This form must be typewritten or computer generated. Handwritten applications are not accepted.

Applicant Information

First Name

Last Name

Phone

Date of Birth

Home Address Line 1

Address Line 2

City

State

ZIP

Summer Address (if different)

U.S. Citizen?

Yes

Alien Registration Number (if not a US citizen)

Vision Status & Membership

Cause and Degree of Visual Impairment

MCB Membership Status

Affiliate Name (if applicable)

Prior MCB Scholarships (year and amount, if applicable)

School Information

School Name

School Address Line 1

School Address Line 2

City

State

ZIP

School Phone

GPA

Minimum 2.0 required

Major / Field of Study

Degree Sought

Expected Graduation

Acceptance Notice Date

Other Schools Applied To or Attended

Standardized Test Scores (ACT, SAT, GRE, etc.)

Background & Qualifications

Work Experience

Extracurricular Activities, Honors & Awards

Signature

Full Name (Electronic Signature)

By typing your name, you certify that all information is accurate and complete.

Download a Form

Printable PDF (PDF, 35 KB)Word Document (Word, 48 KB)

Fill in the Word document on your computer and email it to aa@moblind.org.

Deadline: May 1

Mail to:

MCB Scholarship Committee
5453 Chippewa Street
St. Louis, MO 63109

Supporting Documents

Certified transcripts
Letter of recommendation
Proof of acceptance
Signed Release of Information

Email: aa@moblind.org

Questions?

(314) 832-7172

(800) 342-5632

aa@moblind.org