KANSAS ASSOCIATION FOR THE BLIND AND
VISUALLY IMPAIRED, INC.
ESTHER V. TAYLOR SCHOLARSHIP
APPLICATION SUPPLEMENTAL SHEET
The Kansas Association
for the Blind and Visually Impaired (KABVI) will be awarding two $1,000
scholarships to visually impaired students who are enrolled in an academic,
vocational, technical or professional training program beyond the high
school level. The KABVI scholarship committee will accept applications from
students who are residents of Kansas and are enrolled in a college,
university or technical school. Material must be postmarked on or before
April 15 of each year. Send the completed application and all supporting documents
to: Phyllis Schmidt, 1916 S.W. 66th St. Topeka, KS 66619.
V. Taylor, for whom this scholarship is named, was a charter member of the
Kansas Association for the Blind and Visually Impaired. She became a music
teacher and taught at the
Kansas State School
for the Blind. Esther helped craft early special education laws in
Kansas long before special education became a mandate of the Federal
government. In her eighties, Esther wrote an autobiography, "The
Professor's Family" about herself and her sister, Eleanor, exploring the
challenges of growing up and becoming educated as blind women during the
early 1900's. Esther particularly wanted blind students to be
problem-solvers and as resourceful as their sighted peers in coping with the
challenges of academics, employment and everyday life.
To be eligible for a
scholarship the applicant must:
(1) Be a visually
impaired student admitted to a post-secondary training program for the school year
2) Be a resident of
(3) Submit a
completed, application form together with the required supporting
documentation postmarked on or before April 15 of each year.
be considered for a scholarship the student must submit the following items:
A completed application form:
An autobiographical sketch (please update if you have applied previously)
of no more than two double-spaced, typewritten pages. This sketch should
include goals, strengths, weaknesses, hobbies, honors, extracurricular
activities, achievements, etc. This must be typed; hand-written material
will not be accepted.
A certified transcript from the school presently, or most recently attended.
Two letters of recommendation from current or recent instructors
Proof of acceptance from a post-secondary school. Entering or transferring
students must submit a letter of acceptance from the admissions office.
Certification of visual status on the form attached to this application.
Recipients of this
scholarship will receive a one year free membership to KABVI.
KANSAS ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED, Inc.
V. Taylor Scholarship Application Form
I. PERSONAL DATA
A. Name, mailing address, and
First Name Middle
B. Are you a U.S. Citizen? Yes No
A. Name and
address of the school you are currently attending or have completed
(Secondary and post-secondary schools)
1. Enrollment status: Full time
2. Number of hours completed to date.
3. Major GPA
based on 4.0 scale)
4. Degree/certificate/diploma sought; BA, BS, MS, etc
5. Date you expect to receive it.
B. Name and
address of the school you plan to attend during the semester for which you
are applying for this scholarship ( if different from A. above ):
status: Full time Part time
2. Number of
hours you are planning to take per semester
4. Degree/certificate sought: BA, BS, MS, etc.
5. Date you expect to receive it:
Are you eligible for other financially based student aid? Yes
A. Completed application.
B. Typed autobiographical sketch: include work experience,
extracurricular activities, and/or volunteer service.
C. Certified transcript from the school you are attending or most
D. Two letters of recommendation from current or recent instructors.
E. Proof of acceptance from a post-secondary school.
F. Certification of visual status
on the attached form.
form is to be completed by an ophthalmologist, optometrist, physician,
vocational rehabilitation counselor, or independent living center counselor)
I certify that
____________________________ is known to me and is visually
Impaired as specified
by the following definition:
"Visual acuity best
corrected with conventional spectacles or contact lenses of 20/60 or worse
in the better eye, or a visual field restricted to 20 degrees or less in
each eye." This also includes those certified as legally blind.
Date of examination:
This is a permanent
condition: Yes _____ No _____