Skip to main content
Search for:
Search
About Us
Programs
Donate
Apply
Contact Us
2025 UTF OPEN REGISTRATION
Search
Apply
Apply for a scholarship using the form below.
General Information
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
(Required)
Personal Information
What makes you adaptive?
(Required)
Amputee
Spinal Cord Injury
Traumatic Brain Injury
Neurological
Congenital
Amputation Type
(Required)
Above/Below Knee
Above/Below Elbow
Unilateral
Bilateral
Spinal Cord Injury Type
(Required)
Select
Cervical
Thoracic
Lumbar
Neurological Type
(Required)
Select
MS
Epilepsy
Other
Date of Injury
(Required)
MM slash DD slash YYYY
Do you have a Criminal Record?
(Required)
Select
No
Yes
Do you use a wheelchair?
(Required)
Select
No
Yes
Have you applied before?
(Required)
Select
No
Yes
Health History
Medications, Injuries, Surgeries
0 of 500 max characters
Photo of yourself
(Required)
Accepted file types: png, jpeg, jpg, gif, Max. file size: 20 MB.
The Reason You're Here
Please answer and describe why to the following.
Where are you right now?
(Required)
0 of 400 max characters
Where do you project you'll be in 3-5 years?
(Required)
0 of 400 max characters
Where were you one year ago?
(Required)
0 of 400 max characters
Do you believe you are in control of your health and wellness?
(Required)
0 of 400 max characters
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.
Notifications
