Erin Jorgenson Memorial Scholarship

ERIN JORGENSON MEMORIAL SOFT-SIB SCHOLARSHIP

Qualifications
1. Must have/have had a sibling with Trisomy 18, Trisomy 13, or a Related Disorder.
2. Family must be current SOFT members.
3. Applicant must be entering at least 2nd year of college, university, or technical
school.
4. Attendance at the upcoming SOFT Conference is desirable but not
mandatory.
5. Past recipients are not eligible to reapply.

Deadline
Applications and accompanying materials must be postmarked by June 1 of the current year.
Applicants are encouraged to submit applications early, so if any needed material is missing,
it can be corrected before the deadline.

Presentation
The $500 Scholarship award will be announced and presented at the upcoming SOFT
Conference. The money will be given directly to the recipient to be used as needed:
a. Tuition and fees required to enroll or attend an educational institution, OR
b. Fees, books, supplies, and equipment required for courses of instruction.

If the recipient is unable to attend the SOFT Conference, the check will be mailed to
him/her.

Application
The application below may be printed, or to receive a printable application online
e-mail Gloria Jorgenson at Gloriajayne1957@gmail.com
Questions may be e-mailed or call Gloria at 605-881-4116

ERIN JORGENSON MEMORIAL SOFT-SIB SCHOLARSHIP APPLICATION

I. Personal Information
Name________________________________________________
Address_______________________________________________
City, State, Zip___________________________________________
Phone________________________________________________
E-Mail_______________________________________________
Career Goal_____________________________________________
__________________________________________________
Extracurricular Activities, Volunteer Activities, Work History _____________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
II. Academic Information
School you will be attending_________________________________
Address_____________________________________________
City, State, Zip_________________________________________
Phone(admissions office)___________________________________
Anticipated Graduation Date(month/year) _________________________

III. SOFT Sibling Information and Essay

SOFT Sibling Name______________________________________

Diagnosis___________________________________________

Please attach an essay of no more than 600 words about your SOFT Sibling
and the impact he or she had on your life.

IV. Please include two signed letters of recommendation. These may be
from employers, instructors, church contacts, etc.; not family members.

V. Application Certification, Signature and Date
I hereby certify that all of the information provided in this application is complete
and true to the best of my knowledge. I hereby grant permission for the scholarship
committee to contact my references and/or school if necessary, and if granted this
Scholarship I agree to the publication of my name and likeness.

Applicant’s Signature__________________________________

Date Submitted______________________________________

Mail completed application and essay, postmarked no later than June 1, of the current
year, to:
Kim and Gloria Jorgenson
26 High Plains Ave
Waubay, SD 57273

Be sure to include with the signed and dated application:
● Your essay AND
● Your two letters of recommendation