LDA-IA Greendale Rd., Ste. D Johnston, IA Phone

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LDA-IA The Learning Disabilities Association of Iowa (LDA-IA) will award two scholarships to Iowa high school seniors who plan to enroll in postsecondary education (college or vocational) in the fall of 2018. Description The scholarships are to assist graduating seniors with learning disabilities (LD)* in pursuing a postsecondary education at an accredited institution which provides: a two or four-year college program, or vocational training * Verification of a learning disability is required (see page 2). Students served solely under Section 504, or with primary disabilities other than LD (e.g. Autism), will not be eligible for these scholarships. Number and Amount Two scholarships valued at $500 each will be awarded: One Membership-based scholarship will be awarded to an applicant who meets one of the following requirements: Applicant is a current member of LDA. Applicant's parent is a current member of LDA. Applicant is recommended in writing by a current member of LDA. One At-Large scholarship will be awarded. Preference will be given to applicants who meet any of the membership requirements listed above. Information about LDA membership is available on our website. Annual dues include membership in the Learning Disabilities Association of America and LDA-IA. Payment Procedures After receiving proof of enrollment, $150 will be paid to the student. After receiving proof that the student has completed vocational training or the first full-time year of study, the remainder of the scholarship, $350, will be paid. Application Deadline Scholarship recipients will be selected from applications that have been postmarked no later than March 31, 2018. Recipients will first be notified by phone and then announced May10 th on the LDA-IA website. 5665 Greendale Rd., Ste. D Johnston, IA 50131 Phone 515.280.8558 www.ldaiowa.org info@ldaiowa.org

THE APPLICATION MUST INCLUDE THE FOLLOWING SIX COMPLETED DOCUMENTS (seven documents if including a member recommendation): 1. Scholarship application form completed (see form on pg. 3) 2. Entire current IEP* 3. Student essay** 4. Letter of recommendation from a person (excluding family members) who can provide personal and academic insight 5. High school grade transcript or recent report card 6. Publicity form (see form on pg. 5) 7. LDA member recommendation (see form on pg. 4) if applying for the membership-based scholarship through member recommendation *YOU WILL NEED TO SHOW VERIFICATION THAT YOU HAVE A LEARNING DISABILITY. An ENTIRE current IEP, psychological report, or similar document with indication of a learning disability is required to accompany this application. Additional information may be included. **STUDENT ESSAY REQUIREMENTS This essay must be included with the application to be considered for the scholarship. The essay should include all of the following: Extra-curricular and community achievements Volunteer and paid jobs The nature of your disability and how it impacts your life Accommodations and learning strategies that are beneficial to you and will help you succeed in your post-secondary education Explain methods of financing your education and how the scholarship will assist your education plan Your essay will be read only by scholarship committee members and treated with confidentiality. SEND THE COMPLETED APPLICATION TO: Patty Beyer, Scholarship Co-Chairperson 1741 100th St. Holstein, Iowa 51025 Phone: 712-368-4847 Email: pbeyer33@gmail.com

I understand that all of the information on this application will be available to each member of the LDA-IA Scholarship Committee. I understand that if I am awarded this scholarship, my name will be sent to my local newspaper, and announced in LDA-IA social media, at our LDA-IA Conference in October and on our website: http://www.ldaiowa.org. The information is accurate and complete within my ability to provide the information requested. Signature of Applicant Scholarship applicant please complete the following: Name Phone Address Email Parents or Guardians Names Parents or Guardians Complete Address Career Goals Educational Plans High School Attended College Courses/Challenging Classes taken in High School

Student s Name: LDA Member s Name: Please write a brief description of why you feel this person would be a good candidate for the LDA-IA Scholarship: SEND THE COMPLETED LDA MEMBER RECOMMENDATION TO: Patty Beyer, Scholarship Co-Chairperson 1741 100th St. Holstein, Iowa 51025 Phone: 712-368-4847 Email: pbeyer33@gmail.com

Dear Scholarship Applicant: We are so pleased that you are applying for the LDA-IA and/or Sioux City Learning Disability Scholarships. Please fill out the information below so that in the event you are a winner, we can publicize your honor in your local and/or regional newspapers. No publicity material will identify you as a student with learning disabilities, only that you have won a scholarship. We also would like to use your picture, the name of your school, and your field of studies in our publicity. This information would also be included in LDA-IA social media, at our LDA-IA Conference in October and on our website: http://www.ldaiowa.org. Please fill out the following information and enclose it with your scholarship application. Name: Address: Parent(s) name(s): High School: College/vocational school you plan to attend: Name(s) and address(es) of your hometown and/or regional newspaper(s): Name of Newspaper: Complete Mailing Address: Name of Newspaper: Complete Mailing Address: Thank you and best wishes on your application. Sincerely, The Scholarship Committee