Adaptive Sports / Recreation Scholarship Application

SOCIL is committed to maximizing adaptive sports and recreation opportunities for individuals with disabilities. SOCIL has funds to assist individuals with registration costs to participate in adaptive sports and recreation opportunities.

Eligibility for a scholarship

  • Individuals must be 5 years & up
  • Individuals should demonstrate a sincere interest in learning / participating in the activity or event

Submit the completed form to: Southeastern Ohio Center for Independent Living (SOCIL), 418 South Broad Street, Lancaster, OH 43130. Questions? Call 740-689-1494.

Please print your information clearly.

Applicant Information
Activity Information
A Little More
Where did you hear about SOCIL’s Scholarships?
Signature

By submitting this form, selected applicants agree to send SOCIL a summary about their experience.

Submit your completed form to SOCIL, 418 South Broad Street, Lancaster, OH 43130. Questions? Call 740-689-1494.