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ORYA Scholarship Application
Please fill out the below questionnaire to the best of your ability and an ORYA representative will contact you to proceed with the next steps.
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Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Phone Number:
*
Your answer
Home Address:
*
Your answer
County of Residence:
*
Your answer
Total # of people in the household:
*
Your answer
Total household annual income:
*
Your answer
Reason you are requesting assistance:
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Your answer
Name of athlete(s) requesting assistance.
*
Your answer
Sports program (your request will be forwarded to the Directors of the specified program.)
*
Your answer
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