Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.ELIGIBILITY: All applicants must be U.S. residents. All applicants must submit a transcript to complete the application prior to the submission deadline. All applicants must complete an essay at time of completing this online application. All applicants must provide the name, title & email address of their formal reference; which must be a guidance Counselor, Principal, Professor/Teacher or President/Dean of College at the time of submission. In addition, all applicant’s have the sole responsibility of providing the Reference & Rating link embedded here via copy & paste to their referring person, as well as following up on thier submission of reference by the March 1st deadline. A. Excellence in Academics and Community Service Award Must be a brain tumor patient/survivor or closely related to someone diagnosed with a brain tumor. Relationships are limited to spouse, biological children, biological parents, biological siblings. Must be entering or currently enrolled in an advanced educational program at a college, university, vocational school or other setting within the fifty United States or District of Columbia. Must have at least a GPA of 3.0/4.0 or a 4.0/5.0. l Rank in top half of class and have at least an SAT score of 1000 or an ACT of 21. Demonstrate strong leadership and service in their community. B. Excellence in Science and Medicine Award Must be entering or currently enrolled in an advanced educational program within the health sciences (including biology, chemistry, nursing, etc.) with the intent to enter the field of oncology or neurology (including neuroscience, neurosurgery, and neuropathology) at a college or four-year university within the fifty United States or District of Columbia. Must have a GPA of 3.0/4.0 or 4.0/5.0. l Must have three (3) years of science courses with a minimum grade letter of B in each course. Rank in the top half of class and have at least an SAT score of 1000 or an ACT of 21. C. The Karen Lewis CTU Excellence in Science Award Created in honor of Chicago Teachers Union (CTU) President Karen Lewis. Must be a current student or graduate of a Chicago Public School (CPS). Must be entering or currently enrolled in an advanced educational program within the health sciences (including biology, chemistry, nursing, etc.); pursuing a technical certification, associate or bachelor level degree; with an emphasis in science and/or screening and research in the areas of oncology or neurology (including neuroscience, neurosurgery, and neuropathology) at a college or four year university within the fifty United States or District of Columbia. Must have a GPA of 3.0/4.0 or 4.0/5.0. Must have three (3) years of science courses with a minimum grade letter of B in each course. Rank in the top half of class and have at least an SAT score of 1000 or an ACT of 21. To get started, replace this text with your own. Please select the scholarships above in which you are eligible to apply. *Excellence in Academics & Community Service AwardExcellence in Science & Medicine AwardThe Karen Lewis CTU Excellence in Science AwardA and CB and CSelect applicant relationship to the patient/survivor and complete the diagnosis information.I am the patientI am the child of the patientI am the sibling of patientSingle Line TextSingle Line TextDate / TimeName *AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCheckboxesFirst ChoiceSecond ChoiceThird Choice Submit