Home2025 - 2026 Harvey Simon Memorial Scholarship Application
Please complete the following scholarship application and mail only your official college transcript (if you will be a college Sophomore, Junior, or Senior in the Fall of 2025) or high school transcript (if you will be a college Freshman in the Fall of 2025) to:
The Simon Cancer Foundation
P.O.Box 742722
Boynton Beach, FL 33474
*Required Fields
The Simon Cancer Foundation, Inc. is a 501(c)3 tax-exempt corporation designated by the IRS (EIN: 20-3089282)
Community Service (Past 4 Years)
Leadership (Past 4 Years)
Essay*
How has your experience with cancer driven you to help others? (1000 word limit)
*Signature
I hereby acknowledge the above is truthful and accurate, and attest to have been diagnosed with cancer during my lifetime.
*Date
Activity
Total Number of Hours
Organization
Leadership Position
Number of Years Held
