Home
Dreamers
Events
Ways to Help
Newsletters
About Us
Donate
Back
Calendar
Dancing with the Stars
Blvd of Dreams Sponsorships Opportunities
Driving for Dreams
Fishing for Dreams 2024
Back
Newsletter Home
Fall 2022 Newsletter
Magic of Dreams
Hero Highlights
Summer Edition
May 2021
April 2021
March 2021
February 2021
January 2021
Home
Dreamers
Events
Calendar
Dancing with the Stars
Blvd of Dreams Sponsorships Opportunities
Driving for Dreams
Fishing for Dreams 2024
Ways to Help
Newsletters
Newsletter Home
Fall 2022 Newsletter
Magic of Dreams
Hero Highlights
Summer Edition
May 2021
April 2021
March 2021
February 2021
January 2021
About Us
Granting dreams to children who are critically or chronically ill
Donate
Larry Moore Scholarship Application
Name
*
First Name
Last Name
BIrthday
MM
DD
YYYY
SSN
Home Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone Number
(###)
###
####
Name of Institution you plan to attend
Cost Per Year
$
Field of Study
Have you made an application?
Yes
No
Have you been accepted?
Yes
No
Cumulative GPA
ACT or SAT Composite Score
While attending classes, where will you be living?
At home
On campus
Total number in household
Parent Marital Status
Choose:
Married
Separated
Divorced
Single
Other
Occupation of Father
Occupation of Mother
List your school involvement for grades 9‐12 or currently in college:
Are there any unusual circumstances that would clarify greater need in this scholarship? If so, please explain
Please use the space below and complete a 300-word essay on “What the Dream Factory Means to Me”
Thank you!