Project Write Now Scholarship Application

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Students who apply for a scholarship seat must meet the following requirements:

* You must have a desire to learn and take part in writing activities.
* If you receive the scholarship seat, you must agree to attend the program each day.
* Your parent(s)/guardian(s) must provide transportation to and from the studio for in-person classes.
* You must strive to maintain a positive and supportive attitude in our classes.

Email *

Student Name *

Which program are you interested in applying for? Which session/dates? *

Student Birth Date *

YYYY

Street Address, State, Zip *

Student Cell Number

Student Email Address (non-school) *

Student School & Grade *

Parent/Guardian Full Name *

Parent/Guardian Cell Number *

Emergency Contact Name & Cell *

For Parents

Please indicate household income:

Select

Under $20,000

$20,000 to $50,000

$50,000 to $80,000

$80,000 and above

Clear selection

Please indicate the following:

Select

Currently Employed

Currently Self-Employed

Currently Unemployed

Clear selection

Is the student enrolled in a school lunch program? *

Yes

Other:

Does the family receive government assistance? *

Yes

Other

Number of children in household?

Has the student ever participated in a PWN program before? If yes, which one?: *

How much can you contribute toward payment? *

Project Write Now Policy:

Scholarship seats are non-refundable and non-transferable. Please notify Project Write Now immediately if you are unable to participate. Withdrawing from a program may affect eligibility for future scholarship seats. This information will be kept confidential and will be reviewed only to determine eligibility for aid. We strive to fill as many scholarship seat requests as possible; however, available funding is limited. Scholarship seats are granted based on availability of funds and the participant’s level of genuine need. Scholarship seat applications are reviewed on a rolling basis. We reserve the right to revoke a scholarship seat if requirements are not met.

By signing the application, I agree that the above information is correct and that I will pay the portion mutually agreed upon to Project Write Now if my student receives a partial scholarship.

E-Signature *

Send me a copy of my responses.

Submit

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