Scholarship Application Instructions:

Complete the application and submit all requested information on or before the May deadline (TBA). The recipient will be notified by phone prior to the June announcement.
All requested information must be submitted at the same time. Fields with an asterisk [*] are required.

If you would prefer to download, print & fill out a paper form, CLICK HERE.

Printed forms can be mailed to 1500 Palma Drive • Suite 239 • Ventura, CA 93003

Scholarship Application

Name

First Name

Last Name

Email

Phone

Full Address

Number/Street, City, State, Zip Code

Employer

Birth Date

Diagnosis Date

Submitter's Name (if not applicant)

First Name

Last Name

Personal Recommendation: Please submit one personal reference and provide the individual's Contact Information.

Please submit one personal reference and provide the individual's NAME, PHONE, and EMAIL ADDRESS

Is there anything else we should know?

Date of Application Submission

Application Checklist

You must be a breast cancer survivor residing in Ventura County, California, to be eligible.

Your application must contain factual information. Falsification of information will disqualify you from the process. Ribbons of Life may require additional information and/or verification.

Write & email your essay to ROL@RIBBONSVENTURA.ORG

Obtain one person reference.

Make a copy of all you are submitting.

If you are human, leave this field blank.

ESSAY: Please complete a one-page essay which answers the following question: “What will I be able to accomplish if I receive this scholarship?
EMAIL your essay to ROL@RIBBONSVENTURA.ORG

Should you encounter any issues with the ‘Submit’ button, kindly double-check the form to ensure that all required fields have been filled out properly.
Our aim is to provide a seamless experience for you, and we appreciate your cooperation. Thank you for your understanding and support.

Scholarship will be awarded on a reimbursable basis.