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About
Services
Tutoring: Pre-K - College
TV Prep: K-12 Homeschool
Test Prep
Admissions: Private School + College
Cognitive Assessments
Executive Functioning
Locations
TV Foundation
TV Foundation Application
APPLICANT INFORMATION
Student's Legal Name
(Required)
First
Last
Student's Date of Birth
(Required)
MM slash DD slash YYYY
Are you a US citizen?
(Required)
Yes
No
Parent/Guardian's Legal Name
(Required)
First
Last
Relationship to Student
(Required)
Parent/Guardian's Legal Name
First
Last
Relationship to Student
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Parent/Guardian's Phone #
(Required)
Parent/Guardian's Email
(Required)
Applicant's (18+) Phone #
Applicant's (18+) Email
ABOUT THE STUDENT
Current/Most Recent School
(Required)
Current Grade
(Required)
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College Freshmen
College Sophomore
College Junior
College Senior
Enrollment Status
(Required)
Currently Enrolled
Not Enrolled
Academic Transcript or Report Card (Most Recent)
Max. file size: 300 MB.
YOUR STORY
Tell us about your cancer journey.
(Required)
Treatment Status
(Required)
In treatment
In remission
No longer in treatment & not in remission
Confirmation of Diagnosis Letter
(Required)
Accepted file types: pdf, Max. file size: 300 MB.
Must be completed on medical letterhead by your oncologist, primary care physician, or nurse.
SCHOLARSHIP
What type of assistance are you requesting?
(Required)
Tutoring
Tutoring + Books
Tuition for Homeschool (PK – 12)
Tuition for Private School (PK – 12)
Tuition for College
Tuition + Books
Textbooks and/or Enrichment Materials only
Unsure
How much are you requesting?
(Required)
Less than $1,000
$1,000 – $2,500
$2,500 – $5,000
$5,000 – $7,500
$7,500 – $10,000
$10,000 +
Do you have a school/tutoring company you will be using?
(Required)
Yes, we have one.
No, we are exploring options.
We are interested in using TutorVille.
What semester are you applying for?
(Required)
ASAP
Next semester
Next school year
How much financial assistance are you looking for ($ amount) and how do you plan to use it?
(Required)
YOUR STUDENT
Essay Prompt for all ages – Why is staying in school / continuing to learn important to you during your treatment?
(Required)
Essay should be written in the student’s own words.
Option to upload essay
Accepted file types: pdf, Max. file size: 300 MB.
Photo of Child
(Required)
Accepted file types: pdf, Max. file size: 300 MB.
OPTIONAL – PERSONALIZE YOUR APPLICATION & LET US GET TO KNOW MORE ABOUT YOU
Share a video about:
What you want to be when you grow up.
Your favorite school memory or teacher and why.
What you love most about school and why you want to continuing learning during treatment.
Your favorite subject or book and why.
You!
What you like to do for fun.
Upload a video
Max. file size: 300 MB.
Draw a picture of:
You!
Your family
What you like to do for fun.
Your perfect Saturday.
What you want to be when you grow up.
Upload a drawing
Max. file size: 300 MB.
APPLICATION SUBMISSION
How did you find out about the TutorVille Foundation?
(Required)
Parent / Guardian or Applicant (18+)
(Required)
First
Last
Date
(Required)
Month
Day
Year
Applicant (18+) or Parental Consent:
(Required)
By submitting this application, I give the TutorVille Foundation permission to use the information provided at their discretion.
Use of information in application: Child’s name, age or grade, hometown or home state, photo, essay and any uploaded videos or drawings may be used in scholarship recipient announcements, on our website, in marketing materials or fundraising campaigns.
Information Accuracy: (Required)
I, the parent or guardian listed above, have reviewed all information provided and verify it is true and accurate to the best of my knowledge.
Information Accuracy: (Required)
I, the applicant (18+ years old) listed above, have reviewed all information provided and verify it is true and accurate to the best of my knowledge.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
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