Bite Me Cancer
"Attitude is Everything"
Scholarship Application

Bite Me Cancer "Attitude is Everything" Scholarship Application Form

Please provide the following information:

First name

Last name

Address

Phone

How did you hear about the Bite Me Cancer Scholarship?

Select the type of school you attend or are planning to attend:

Four-year College/University

Two-year College/University Community College

Vocational, Professional, or Trade School

Online education institution

What type of degree or certification are you pursuing or planning to pursue?

Bachelors

Associates

Trade Certification (i.e. electrician, cosmology, etc.)

Other

College name and location: (if already accepted or attending, if not list pending applications)

Current or intended major or field of study:

We require that an applicant is a U.S. citizen or permanent resident of the U.S. or U.S. territories, are you?

Are you a resident of Virginia, Maryland or the District of Columbia?

Each applicant has to have been diagnosed with cancer between the ages of 13-19. At what age were you diagnosed?

Will you be a full-time or part-time student in an undergraduate, trade, vocational, or professional program during the 2026-2027 academic year?

In the 2026-2027 academic year, i will be a:

Freshman

Sophomore

Junior

Senior

Essay and Reflection Questions

All applicants must complete the following question

How has your experience with cancer influenced your plans for the future and shaped who you are today?

Please choose and answer one of the following three questions:

Who or what has inspired you most during your experience, and why?
How have you given back to your community, school, or to other cancer survivors?
If you could share one piece of advice or encouragement with another teen going through cancer, what would it be?

Submission Options:

Written essay: Each question answered in a minimum of 250 words and a maximum of 750 words
Video essay: Each question answered in a 3-5 minute length video

Please upload your essay or video submissions here.

Please read the statement below and provide signature and date:

"I affirm that this is entirely my own work and that I did not use any external assistance or AI tools to complete this application"

Signature

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Date

Month

Day

Year

Please upload the following:

Proof of residency (i.e. drivers license, state ID, or utility bill in your/parents name)
A log of your community service or extracurricular activities.

Upload the above requested documents

If awarded, recipients must submit a diagnosis verification form completed by their treating provider and sign a media release allowing Bite Me Cancer to share their name, photo, and award information publicly.