2024 ASCV Program Scholarship Application
We are excited to have scholarships available for our 2024 ASCV programs. Individual scholarship amounts will be determined based on the number of applications received. If you are completing this application for more than one program, we ask that you complete a separate application for each program. Please email us at info@ascv.org with any questions and/or if you need assistance completing this application. Thank you very much!  
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Email *
Name *
Email Address *
Phone Number *
Address *
Are you an ASCV member? Please note: you do not have to be a current ASCV member to be eligible for this scholarship. However, priority will be given to current ASCV members. *
Which ASCV program are you applying for? If you are applying for more than one program, please complete a separate application for each program. *
How many individuals would be attending this program? *
Please share what a scholarship for this ASCV program would mean to you. *
Are you applying for a full or partial scholarship? Please note, funds are limited, and we cannot make any guarantees about how funds will be awarded. *
Optional Demographic Information 
This information allows us to know more about our membership base, informs program evaluation and development, helps us determine which programs might be of interest to you and your family, and ensures we are providing appropriate services and supports. We will not share your personal information.
Race/Ethnicity (Providing this information is optional. This information is collected for grant purposes only, and is reported in aggregate, not individually) 
 *
Household Income Bracket (Providing this information is optional. This information is collected for grant purposes only, and is reported in aggregate, not individually) 
 *
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