Mayor’s Committee for People with Disabilities Scholarship Application

First Name

Last Name

City/Town

State/Province

ZIP/Postal Code

Phone

How long have you been a Chandler Resident?

Household Status

Live Independently

Live with Family

Live with Caregiver

Gender

Male

Female

Date of Birth

Amount Request

What school/training are you enrolled in?

Describe your educational and career goals.

Describe the impact your disability has had on you in your academic and/or career setting.

Describe how this scholarship will help you achieve your educational and career goals.

The Mayor’s Committee for People with Disabilities provides scholarships to qualified applicants with disabilities, defined by the Americans with Disabilities Act.

Do you have disability as defined by the Americans with Disabilities Act? (Proof may be requested at later date)

Yes

Upload two letters of recommendation (PDF files only)

Letter of recommendation (1)

Upload requirements

Letter of recommendation (2)

Upload requirements

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Mayor’s Committee for People with Disabilities Scholarship Application