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Preschool Curiosity Club Scholarship Form
Please complete this form as accurately an completely as possible to be considered for a scholarship. While we have limited resources for scholarships, we try to accommodate as many families as we can.
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* Indicates required question
Email
*
Your email
Child's first name
*
Your answer
Child's last name
*
Your answer
Guardian's first name
*
Your answer
Guardian's last name
*
Your answer
Child's age this session
*
Choose
3 years old
4 years ols
5 years old
Child's address
*
Your answer
Does your child attend preschool? Which preschool?
*
Your answer
A phone number where we can reach you in case we have questions.
*
Your answer
Which Curiosity Club session(s) are you requesting a scholarship for?
September
October
November/December
Please give the typical combined
monthly
income of all adults in the household.
*
Your answer
What do you pay each
month
for housing (rent, house payment)?
*
Your answer
How many adults reside in the home?
*
Your answer
How many children reside in the home?
*
Your answer
Please explain why a scholarship would be helpful for your family.
*
Your answer
The scholarship is for a $40 discount. The remaining fee ($8 for members, $20 for nonmembers) will be the family's responsibility. Is your family able to pay this?
*
Yes
No
Other:
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