Harvey Simon Memorial Scholarship — 2027–2028 Application

Education

Your Story

Your Next Chapter

Making a Difference

Certification

I have personally received a cancer diagnosis.

I expect to be enrolled at an accredited four-year U.S. college or university or eligible graduate program in Fall 2027 and/or Spring 2028 (either or both semesters).

I have not previously received the Simon Cancer Foundation.

My application is accurate and I understand enrollment and eligibility verification may be required before an award.

I certify my written responses are my original work and comply with the AI policy.

Yes, I authorize The Simon Cancer Foundation to use my name, likeness, and approved photographs or excerpts of my submitted story for the purposes described in the Optional Media and Story Release above. I understand I can still apply if I do not check this box.

Harvey Simon Memorial Scholarship — 2027–2028 Application

1. Applicant information

First name

Last name

Email address

Phone number

Address

City

State

ZIP code