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Neilsen Scholarship Graduates Form

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Your Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Preferred Method of Contact

Institution(Required)

Graduation Date(Required)

Provide a brief biography about yourself(Required)

e.g., where you’re from, educational experience, current professional or personal standing

Were there barriers removed with the Neilsen Scholarship? If so, what freedom(s) has the Scholarship provided?(Required)

What was the most memorable moment of your time on campus?(Required)

Has the Neilsen Scholarship inspired you to ‘pay it forward’? If so, in what ways?(Required)

Are there changes you would advocate for that would make academic success more likely for students with SCI?(Required)

Upload a current headshot image(Required)

Max. file size: 256 MB.

Please upload a current headshot image of yourself. By submitting this photo, you are giving the Craig H. Neilsen Foundation permission to use it for communication purposes, including but not limited to our website, press releases, and materials. If you have any questions or concerns, please feel free to reach out to julea@chnfoundation.org.

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