Robert A. Wilkie Memorial Scholarship Application

Must be a Pediatric Cancer survivor or sibling of a pediatric cancer patent (living or deceased)
Must submit a copy of your acceptance letter or unofficial transcript
Must be enrolled in an undergraduate program at any university, college or trade school
Deadline for application: June 30, 2019

Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
I am a pediatric cancer*
- Survivor
- Sibling
I currently attend*
This is why I should be the scholarship recipient*
Please write an essay explaining your relationship with said pediatric cancer patent and how this scholarship would benefit you if awarded.

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