180 Medical Scholarship ProgramEligibility Students attending a two-year, four-year, or graduate school program full time in the fall are eligible to apply. Applicants must be under a physician’s care for a spinal cord injury, spina bifida, transverse myelitis, neurogenic bladder, or ostomy (ileostomy, colostomy, or urostomy). Must be a legal resident in the United States.

Deadline Application must be postmarked on or before June 1st.

SEVEN $1,000 College Scholarships

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For application information, visit: www.180medical.com/scholarships

About 180 Medical180 Medical is one of the leading providers of catheters, ostomy products, and incontinence supplies in the United States. 180 Medical aims to offer high-quality products paired with unparalleled customer service.

Meet ToddIn 1994, Todd Brown was injured in a motocross accident, leaving him paralyzed from the chest down. After rehab, he faced new challenges like constant urinary tract infections (UTIs) and dealing with medical supply companies who cared more about making money than truly helping him.

Fortunately, Todd’s new friends in the wheelchair racing circuit introduced him to advanced catheters designed to reduce the risk of UTIs. After that, his health did a total 180° turnaround. He had more energy without having to fight off infection, and he didn’t have to waste time washing and reusing catheters. He realized others could be dealing with similar challenges, and that’s when he decided to create a medical supply company that could really help people.

For nearly 2 decades since Todd founded 180 Medical, we’ve been fully dedicated to helping turn lives around with superior products and compassionate customer service.

Scholarship AwardsEligibility RequirementsTo be eligible, the applicant must be a U.S. citizen and planning to attend school in the U.S. full-time in the fall of 2020 for their Associate’s, undergraduate, or graduate degree. This scholarship is not offered to students in medical school. All applicants must be under a doctor’s care for spina bifida, a spinal cord injury, transverse myelitis, a condition causing a neurogenic bladder, or an ostomy (ileostomy, colostomy, or urostomy).

Application DeadlineThe 180 Medical Scholarship Program accepts applications from January 1, 2020 – June 1, 2020. All materials must be postmarked by June 1, 2020. Application materials must be mailed in one packet. If possible, transcripts should not be sent separately. If you choose to email your application, please include all materials and send to scholarships@180medical.com.

2020 180 Medical College Scholarship ProgramAPPLICATION INFORMATION

Todd Brown, Founder of 180 Medical

Please fill out completely.

Are you a U.S. Citizen? o Yes o No

Fall ‘20 Status: o College Freshman o College Sophomore o College Junior o College Senior o Graduate School Est. Grad Date:

Full Legal Name First Middle Last Gender

Permanent Address

City State Zip Code

Date of Birth Telephone # Cell # Email Address

High School Name Address City, State, Zip Code

SAT or ACT Score High School Cumulative GPA

Current College (if applicable) Name Address City, State, Zip Code

College Cumulative GPA (if applicable) College Student ID

College you will attend Fall 2020 Name Address

City State Zip Code Major

Diagnosis: o Spinal Cord Injury o Spina Bifida o Transverse Myelitis o Neurogenic Bladder

o Ileostomy o Colostomy o Urostomy o Other:

How did you hear about this scholarship opportunity?

Please respond to the following questions.Attach your typed responses to this form.

1. List your extracurricular activities (sports, community, employment, etc.) from the last two years. Indicate the dates you participated in the activities.

2. List any significant awards or honors you have received during the last two years for academic or extracurricular achievements.

Essay or Video: (750 word or 5 minutes maximum) Tell your story. Include how your medical condition has affected your life and explain your goals for the future.

Transcript: Please submit an official transcript including your most current semester with your application materials.

Diagnosis Documentation: Must submit a physician’s note stating diagnosis.

College Acceptance Letter: Submit a copy of an acceptance letter or current enrollment documentation.

o Internet Search o Scholarship Directory o Facebooko Friend o Other

FINAL DEADLINE: JUNE 1, 2020

In submitting this application, I believe all of the above information to be true and complete and I hereby apply for the 180 Medical Scholarship. I certify that I am not currently receiving full funding for my education. I authorize 180 Medical to obtain and review my academic records. By submitting this application, I authorize 180 Medical to use my name, photo, and any part of essay or video if I am selected as a 180 Medical Scholarship recipient.

Applicant Signature(Required)

2020 180 Medical Scholarship Application

To be considered for a scholarship, you must include the following:

o Completed applicationo Typed questionso Typed essay or videoo Physician’s statement of diagnosiso Most recent official transcripto Document verifying acceptance by college or current enrollment

Send all materials to:180 MedicalAttn: Scholarship Committee8516 NW ExpresswayOklahoma City, OK 73162

Or e-mail to scholarships@180medical.com.

All materials must be postmarked before June 1, 2020.

Scholarship award winners will be announced on 180 Medical’s Facebook page by August 15, 2020.

Please do not check on the status of your application.

180 Medical 2020 Scholarship Program Checklist

Catheter, Ostomy, & Incontinence Supply SpecialistsPh: (877) 688-2729 | Fax: (888) 718-0633 | www.180medical.com

Contact us to see how we can help with your medical supply needs.

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