2019 Elam Baer & Janis Clay Educational Scholarship Fund Application

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Scholarship amount:              $1000 (ten scholarships awarded each year)

Application Deadline:             April 8, 2019 at noon

Awards Announcement:        May 22, 2019


  • Must have a diagnosis of epilepsy/seizure disorder.
  • Must be a high school senior or a high school graduate.
  • Must provide proof of acceptance to a post-secondary academic or vocational program.
  • Must live in Minnesota or Eastern North Dakota.
  • Must submit a completed application and two letters of recommendation.

Opportunities are provided solely on individual merit of applicants related to scholarship requirements and without regard to religion, creed, race, national origin, gender or sexual orientation.
General/Contact Information
Academic Records
Short Essay
2 Letters of Recommendation
Confirmation of enrollment
Selection Factors

  • Strong career goals
  • How applicant has overcame obstacles related to epilepsy
  • Personal Achievements
  • Involvement with the Epilepsy Foundation of Minnesota and/or the community

Selection Panel:

Volunteer selection committee to be determined by the Executive Director.

Questions? Please reach out to Mary Meuwissen at mmeuwissen@efmn.org or 651.287.2312

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Part 1: General Information

Street Address City State Postal Code

Academic Records

High School Street Address City State Postal Code


Short Essay

Write a two page essay addressing the following questions:

  • What are your career goals?
  • What are your personal achievements?
  • What has your involvement been with Epilepsy Foundation of Minnesota and/or your community?
  • How have you addressed any obstacles that your epilepsy or seizure disorder have presented? 

Additional Enclosures

1. Submit two letters of recommendation.
Ideas for recommenders include: a physician, teacher, academic adviser, principal, coach, etc. Letters may be uploaded below or emailed directly to mmeuwissen@efmn.org. Must be received by April 8th, 2019

2. Submit a copy of your university, college, or vocation school acceptance letter or confirmation of enrollment:

I hereby certify that the facts presented in the above application are true and complete to the best of my knowledge. I understand that completing this application does not ensure a scholarship award and that my application will be reviewed by members of the review committee, therefore not guaranteeing confidentiality.  I also grant permission for the Epilepsy Foundation of Minnesota to use any photos of me for submission in publications.