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Academic Tutoring: Pre-K – College
TV Prep: K-12 Homeschool
Test Prep
Private School + College Prep
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TV Foundation
TV Buzz
TV Foundation Application
APPLICANT INFORMATION
Student's Legal Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Parent/Guardian's Legal Name
(Required)
First
Last
Relationship to Student
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Email
(Required)
Are you a US citizen?
(Required)
Yes
No
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
Max. file size: 300 MB.
YOUR STORY
Tell us about your child's cancer journey.
(Required)
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.
Treatment Status
(Required)
In treatment
In remission
SCHOLARSHIP
What type of assistance are you needing?
(Required)
Tutoring
Tuition – Homeschool
Tuition – Private School
Tuition – College
Books and/or Enrichment Materials
Unsure
Select All
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
More than $10,000
Do you have a school/tutoring company you will be using?
(Required)
Yes, we have one.
No, we are exploring options.
We are interested in using TutorVille.
How much financial assistance are you looking for ($ 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.
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Email
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