Recover Michiana I Substance Misuse Recovery I Non Profit Organization

Szweda Scholarship Application

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All fields with (*) are required.

First Name: *

Last Name: *

Email: *

Phone Number: *

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Would you like us to directly mail you the check, or mail it to your institution? *

* Some institutions have regulations regarding the report of private scholarships and how this money is submitted. Please check with your school's financial aid department on their regulations regarding private scholarships.

Mail it to my home address

Mail it to my institution

Please write how the check should be addressed. (i.e., your first and last name, your institution's bursar/financial aid office, etc.) *

Please supply the address of your school's financial aid or bursar office. *

* This is only required if you request we send the check directly to your institution.

Please supply your home address. *

What is your expected graduation date? *

Where will you be continuing your education after high school? *

Please upload a 300-500 word essay detailing how substance use disorder has impacted your life, as well as your academic/professional goals and the ways in which this scholarship will benefit those goals.

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(574) 387-6092

beth@recovermichianafest.org

P.O. Box 175 South Bend, IN 46624