Kids' Chance Scholarship Recipient Application

Welcome to the Kids’ Chance Scholarship Application page. If you are or have been a recipient of a Kids’ Chance Scholarship, you are likely eligible for a full scholarship to our Workers’ Recovery Professional Certification. The requirements are simple:

You have received one or more awarded scholarships from a state Kids’ Chance organization in good standing with Kids’ Chance of America.
Your scholarship was applied to and you attended a college, university, vocational school or other approved institution of higher learning.
The State KC organization you name must confirm your scholarship.
You have or desire to develop a career in the workers’ compensation industry.

That’s it! We do not require that you completed college or earned your degree – only the requirements above apply.

Please complete this very brief application. We will confirm your information and get back to you as quickly as possible. Thank you.

KC Scholarship App

Select Scholarship Type

Founders Kids' Chance Scholarship

Partner Scholarship

Faculty Grant Scholarship

Service & Commitment Scholarship

Mind, Body & Spirit Scholarship

First Name

Last Name

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

What Year Was Your Scholarship Issued?

What State KC Organization Issued Your Scholarship?

What College/School Did You Attend?

In what military branch did you serve?

Entrance Date

Discharge Date

Were you Honorably Discharged?

Are you currently employed in the workers' compensation industry?

Current Position/Job Title

Name of Current Employer

What type of sport did you pay, either professionally or at the varsity level?

For What Team or School did you play?

What position (if applicable) did you play?

What Year's did you play?

Professional Education to Date - Please list any degrees or certifications you have attained

Personal Achievement - Please list a personal accomplishment you are proud of

Volunteerism - Please list any civic groups or organizations where you have volunteered

Reference Section

For this scholarship we ask for three references. These can be work or personal references.

Reference # 1

First Name

Last Name

Phone/Mobile

Reference # 2

First Name

Last Name

Phone/Mobile

Reference # 3

First Name

Last Name

Phone/Mobile

For this scholarship we require a short essay (approx 800 words) telling us why you want to complete the Workers' Recovery Professional Program. Include why you deserve this scholarship, why you should be considered, greatest strength in the work comp process as well as greatest weakness.

Please upload that essay in PDF, Text or Word form.

Essay Upload Area

Choose File

Kids’ Chance Scholarship Recipient Application

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