IEP Advocate Scholarship Program – Down Syndrome Association of the Upstate

Parent First Name *

Parent Last Name *

Email Address *

Phone *

Are you currently a DSAU member? *DSAU membership is a requirement for this scholarship.YesNo

Individual with Down Syndrome Name *

Individual with Down Syndrome age *

Individual with Down Syndrome grade level *

School district the individual with Down syndrome will be attending. *

Have you ever been through the IEP process? *YesNo

Have you previously received any scholarships from the DSAU through any of our programs or outreach? *YesNo

If you have received a scholarship through our programming previously, which scholarship or outreach did you receive?

What type of contact would be most benefical to your family at this time? *