Scholarship Application

Are you re-applying to the Ausome Scholarship Program?(Required)

Yes

No

Are you a resident of Florida? (If you answer no, you are not eligible for this scholarship and your application will not be considered.)(Required)

Yes

No

Is the applicant currently enrolled in the school in which the scholarship funds will be applied towards? (If you answer no, you are not eligible for this scholarship and your application will not be considered.)(Required)

Yes

No

Please enter the name of the school(Required)

Current grade or Academic Level(Required)

Applicant’s Full Name(Required)

Applicant’s Birthdate(Required)

Applicant’s Address(Required)

State Issued ID(Required)

Drop files here or

Max. file size: 48 MB, Max. files: 1.

Please provide a copy of a state-issued ID as proof of the information above.

Autism spectrum disorder diagnosis(Required)

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Max. file size: 48 MB, Max. files: 1.

Please provide valid documentation of the applicant’s autism spectrum disorder diagnosis, failure to do so will disqualify the applicant

List up to 5 preferred activities: (such as sports, music, art, hobbies)(Required)

Applicant’s Gender(Required)

male

female

prefer not to designate

share more about gender identity

Applicant's Pronouns(Required)

he/him

she/her

they/them

add another pronoun

Please explain about your gender(Required)

Please list your pronouns(Required)

Parent(s)/Guardian(s) MUST complete a Parent/Guardian Form as part of the Ausome Scholarship Application.

If the parent(s)/guardian(s) live in the same household, please complete one Parent/Guardian Form together.
If there is one parent/guardian only, the parent/guardian will complete one Parent/Guardian Form. That parent/guardian should also submit a Non-Custodial Parent Waiver.
If your parents/guardians live in two separate households, they will each complete a separate Parent/Guardian Form.

Please select the option that describes your parent/legal guardian situation:(Required)

Parents/guardians are married to each other, or parent/guardian is widowed.

Parents/guardians are divorced, separated, or have never been married to each other.

Custodial parent/guardian live with applicant, but my second parent is incarcerated, or the whereabouts of my second parent are unknown.

Both parents/guardians are deceased or their whereabouts are unknown, or applicant is a legally emancipated minor or ward of the state without parents or guardians.

Important Notes:
Your application will not be complete unless the appropriate Parent/Guardian Form(s) are completed and submitted by the application deadline. If you have any questions about this application requirement, please contact the Ausome Foundation Team at scholarships@ausomefoundation.org

Based on the information you provided above, you are required to submit the following: (Share the corresponding application with the other parent):

Custodial Parent/Guardian Form	Non-Custodial Parent/Guardian Form
Download Application Form	Download Application Form

Please attached completed forms below. If you need more time filling out the application you can click on the "Save and Continue Later" button to save your progress and finish it a later time.

Custodial Parent/Guardian Application Form(Required)

Drop files here or

Max. file size: 64 MB, Max. files: 1.

Non-Custodial Parent/Guardian Application Form(Required)

Drop files here or

Max. file size: 64 MB, Max. files: 1.

Parent Financial Information

The applicant's biological or adoptive custodial parent(s)/guardian(s) (with whom the applicant resides full time or a greater portion of the time), should provide tax information.

If the custodial parents/guardians are married to one another, the financial information provided should be the combined amount for the custodial parents/guardians.
If the custodial parent/guardian has remarried, the stepparent's financial information should be included; please note that in this section, all uses of "you/your" or "parent(s)/guardian(s)" also includes the stepparent.
If there is a noncustodial parent/guardian, he/she will complete their own form - you do not need to include their information here. The applicant should provide the noncustodial parent's/guardian's email address as a part of the Parent Information Request section on the student application.

PLEASE NOTE FINANCIAL ELIGIBILITY: To be eligible for the Ausome Scholarship Program, the applicant must demonstrate unmet financial need. We will consider applicants within the poverty guidelines stated by the Federal Register. (https://www.federalregister.gov/documents/2022/01/21/2022-01166/annual-update-of-the-hhs-poverty-guidelines)

Were you required to file a Federal Tax Return in 2021?(Required)

Yes

No

Please enter your 2021 Combined Household Income (AGI)(Required)

Please provide an explanation of any special financial circumstances relevant to your income information here (e.g., business losses, extraordinary family medical expenses, expenses for disabled children)