BCBA Scholarships

Congratulations!
If you are receiving this link, you have been accepted to the Autism Recovery Foundation's Spring 2021 BCaBA/BCBA Scholarship program. In order to receive your scholarship award, please complete the following online form. Please note, all scholarships must be accepted within 60 days of receiving your confirmation email.
Please confirm you have the following items prepared before beginning your scholarship acceptance form:
- Current Mailing Address
- A Profile Photo (.pdf, .jpeg or .png)
- Proof of Tuition Paid for Summer 2020, Fall 2020, or Spring 2021 (.pdf or .jpeg)

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Applicant Name*
Please submit your first and last name as you wish it to appear on your scholarship award check.
First Last
Email*
Current Mailing Address*
Submit a current mailing address to send your scholarship award check sent to. Please note it may take Autism Recovery Foundation 4-6 weeks after this form is submitted for the scholarship check to be mailed. You may also email contact@autismrecoveryfoundation.org to pick up your scholarship check in person.

Street Address Address Line 2 City State ZIP Code

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Scholarship Awardee Questionnaire
Please take a moment to complete this questionnaire for us to share with our donors and volunteers who help fund your education. Answers should be 2-3 sentences in length and may be used in promotional materials related to ARF's fundraising goals. ARF's donors and friends feel a special connection to their award recipients and especially enjoy learning about the activities of the student they support.
How did you hear about ARF's Scholarship Program?*
- Google Search
- ARF Website
- Social Media Post
- Supervisor or Employer
- Co-Worker or Colleague
- Personal Friend or Family Member
- ARF Board Member
Why are you pursuing your BCaBA/BCBA Certification?*
How do you see yourself using your certification in your future? What made you decide to pursue certification?
What does receiving this scholarship mean to you?
How will it impact your academic year? How has this scholarship made a difference to you? How have you benefited from receiving this support? What was made possible with these funds that could not have been accomplished otherwise? Please provide specific examples.
If you could say something to the individuals and sponsorship organizations that support this scholarship program, what would you say?*
Would you be willing to be interviewed more about your Autism Recovery Foundation scholarship award?*

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Are you interested in volunteering for the Autism Recovery Foundation?
Are you interested in joining the Autism Recovery Foundation Board? One scholar will be selected each year for a non-voting position on the board. Board meeting occur 3-4 times a year for 1-2 hours per meeting.

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Document Submission
Profile Photo
Autism Recovery Foundation asks that you submit a profile photo to put a personal face on the story you provide. These photos are displayed on our website, in our annual report, and at our Autism Heroes Fundraising event in November.
Proof of Tuition Paid*
Autism Recovery Foundation requires each scholarship recipient to submit a .pdf copy of a receipt indicating tuition paid for either the Spring, Summer or Fall semesters to verify that you are enrolled in BCBA/BCaBA coursework. A .jpg photo of a tuition statement is also acceptable.

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Authorization and Release of Information
By electronically signing below, I authorize the Autism Recovery Foundation to share my name and the information publicly, for the purpose of acknowledging gifts in support of the foundation. By signing below, I also represent that the submitted information, pictures or images do not infringe on any copyright and that I have the right to grant any and all ownership rights, licenses or other interests I may have in those materials to the Autism Recovery Foundation.
Electronic Signature*
First Last
Date Submitted*

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Congratulations!