Refer a Student

When a worker is severely injured or killed on the job, it doesn’t just affect them – it affects their entire family. Thinking about the future is put off, and when the time comes, the cost of higher education can be well out of reach.

That’s where the Kids’ Chance of America Planning for the Future Initiative was designed to identify potential scholarship applicants, especially those who are not yet of college age. They collect and maintain their contact information so we can reach out when the time comes to consider options for higher education. If the student(s) are a Florida resident, we will be connected with these students to begin the scholarship application process.

If you have a student in mind that would qualify now, please complete the form below. We’re here to help students achieve their educational dreams and succeed in creating a bright and productive future.

Help us find qualified applicants! If you are or know a student who meets our pre-qualifying questions, complete this brief form, and we will forward important information about our scholarship program to them.  

Due to privacy concerns, this form may be submitted anonymously. We do not reveal the source of referrals to the students or their families. 


Referrer Information:

The information below is completely voluntary. This form may be submitted anonymously, but if you wish to have a confirmation or other follow-up, you may provide your information below.