"The purpose in life is not to be happy. It is to be useful, to be honorable, to be compassionate, to have it make a difference that you lived, and lived well." ~Ralph Waldo Emerson

5709 Long Cove Road Midlothian, VA, 23112 United States

804-212-4850

info@tylerpatnaude.com

The Tyler Patnaude Foundation is a 501c3, non-profit, which exists to live out Tyler's legacy of friendship and giving to others.

Scholarship Application Form

For your application to be considered complete, please fill out the form below, send your 1-page paper and a high resolution photo to info@tylerpatnaude.com. Your paper should describe your history and motivation for serving others.

Applicant

First Name

Last Name

Email Address

Phone

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Address

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Address 2

City

State/Province

Zip/Postal Code

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High School

University/College

Major

First Year College Student?

Only first year college students are eligible for this scholarship.

Character References

Ref 1: Name

First Name

Last Name

Ref 1: Title/Relationship

Ref 1: Email

Ref 1: Phone

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Ref 2: Name

First Name

Last Name

Ref 2: Title/Relationship

Ref 2: Email

Ref 2: Phone

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Ref 3: Name

First Name

Last Name

Ref 3: Title/Relationship

Ref 3: Email

Ref 3: Phone

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I irrevocably grant to the Tyler Patnaude Foundation, the right to use, reproduce, adopt, distribute, publish and publicly display the photograph(s) submitted by me or taken during events related to my application for scholarship for communication and marketing purposes.

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