Illinois Elks Children's Care Corporation

Forms (PDF, click to open and download/print)

• 2025 BENEFIT CHILDREN'S CALENDAR ORDER FORM

• PATIENT REFERRAL REQUEST FORM (UPDATED 2024)

• PHYSICAL OR OCCUPATIONAL THERAPY MAJORS APPLICATION
The application is now closed for this year's scholarship. The 2026-2027 application process will begin December 1, 2025.

• PHYSICAL OR OCCUPATIONAL THERAPY ASSISTANT APPLICATION
The application is now closed for this year's scholarship. The 2026-2027 application process will begin December 1, 2025.

• LYDIA MILLER SPECIAL EDUCATION MAJOR SCHOLARSHIP
The application is now closed for this year's scholarship. The 2026-2027 application process will begin December 1, 2025.

• SPEECH PATHOLOGY SCHOLARSHIP
The application is now closed for this year's scholarship. The 2026-2027 application process will begin December 1, 2025.