Surgery Scholarship

CK Life Surgery Scholarship

CYCLE 7 is NOW CLOSED!

CYCLE 8 TBA approximately December 2018.

Criteria for Selection Include:

  • Please email scholarshipfund@cklife.org for application form.
  • Applicant must complete the required form and return it with necessary documents (described below). Upon receipt of completed cover application number will be assigned
  • Secure a letter of support from a personal reference regarding your volunteer work or community involvement. (Must not exceed 500 words) *****This is one of the new requirements we have added this year.******
  • Secure a letter of support from a licensed medical (MD, PA, NP etc. ) or mental health professional such as a psychologist, psychiatrist, social worker, or therapist. (This document must be uploaded with application or may be mailed. If mailed it must be post marked by May 1st, 2017)
  • Select a surgeon who is knowledgeable in transition-related surgeries and an alternate surgeon as a plan B. Applicant may change surgeon choice up until final notification is given about surgery scholarship award approval/Denial.
    If an applicant has not completed all of these requirements, but is planning to do so, please include your plans in your application.
    Note: If you are selected for funding, the payment will be made directly to the doctor or hospital facility. You must comply with any and all requirements according to the Standards of Care of the World Professional Association for Transgender Health’s (WPATH), formerly known as the (Harry Benjamin International Gender Dysphoria Association, HBIGDA), as determined by your selected surgeon.
  • Applicant must demonstrate a genuine need for financial assistance. (Include in Financial statement whether you have insurance. If you do have insurance and won’t be using it for surgery please explain why.)
  • Applicant must detail the efforts they have made to raise funds and the amount of cost that they will be able to cover on their own, if any. (Include in personal statement)
  • Applicant must demonstrate how the surgery they are pursuing will benefit them and improve their quality of life. (Include in personal statement must not exceed 1000 words)
    Identify who will care for and provide support post-surgery. (Include in personal statement)

Any questions, please feel free to contact us at  scholarshipfund@cklife.org or call (347) 881-7005

All Applicants will be given an application number on receipt of their cover page information. You can request your application number by emailing scholarshipfund@cklife.org . This number must be included on each page of application materials that are submitted separately to help keep track of application.
 
***Any Statements in the application found to be knowingly incorrect/untrue will eliminate the applicant from current scholarship cycle and any future scholarship cycles.
Selection of scholarship recipients will be done by CK Life Affiliates with name being omitted from the application to keep the selection unbiased.
Applicants must meet  WPATH standards to be granted a scholarship.
All applicants will be notified of a final decision on their application.
All Scholarship applicants will be notified by August 31st, 2017.
If applicant is selected for funding all money will be paid directly to the Surgeon, Hospital/ surgical facility.
Any awarded funds MUST be used within 6 months (for  breasts/Chest Surgery ) or 1 year (for Genital surgeries) of time they are awarded. If there are extenuating circumstances (such as surgeon has a long waiting list) then that time frame may be extended based on the circumstances. If the funds are not used in an appropriate amount of time then the funds will go back into the pool of money towards the next scholarship Cycle.
If you have any questions or concerns regarding this application process please email: scholarshipfund@cklife.org