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  • Please fill out the form below and upload your application to submit your entry to our scholarship program
    • Your Contact Information

    • Your College / University Information

    •  

    • (based on a 4.0 scale)
    • Essay / Video Submission



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  • Rent A Knee Walker Scholarship Application

  • Disclaimer

  • By applying for the Rent A Knee Walker Scholarship, you agree to the use of your name, school location, likeness, and submission content on our website, our newsletter, social media channels, and for any marketing purpose.
  • In the event that a winner fails to respond to our notification within 14 business days, the winner's prize will be forfeited, and a new winner will be selected.
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