Blosser Center Tutoring Scholarship Application

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Thanks to a generous donation, the Blosser Center has been able to establish a pool of scholarship funds for tutoring. To be considered for a scholarship, please complete the information requested below. For questions regarding our scholarship program, please contact our office, via email at info@theblossercenter.org

Our scholarship committee will review applications monthly. Please note that the Center will not be able to fund all requests for support that are received.

Student Name: *

Student Gender (Optional):

Female

Male

Non-Binary

I prefer not to answer

Clear selection

Student Race (Optional):

Native American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Hispanic, Latino or Spanish Origin

Middle Eastern or North African

Unknown

I prefer not to answer

Is your student currently being tutored by the Center? *

Yes

Not yet. We have submitted our inquiry form and testing to be considered for tutoring.

No, we have not yet submitted our inquiry form or testing to be considered for tutoring.

How long has your student received tutoring from the Blosser Center? *

How long do you anticipate your student tutoring with the Blosser Center? *

Parent/Guardian Name: *

Phone: *

Email: *

Does your child qualify for free/reduced lunch via your school? If yes, please email a copy of the approval letter from your school to our Executive Director at danielle.schneider@theblossercenter.org. *

Each tutoring lesson is billed at a rate of $80.00, beginning 9/1/2021. In order to serve as many students as possible, scholarships will generally not be awarded for the full cost of the lessons. What percentage, would you be able to contribute towards tutoring? *

90% - $72.00 per lesson

80% - $64.00 per lesson

70% - $56.00 per lesson

60% - $48.00 per lesson

50% - $40.00 per lesson

Less than 50% per lesson; See next question

If you selected less than 50% per lesson to the above question, please indicate the amount you believe you could contribute.

Please (briefly) describe any additional information that you feel would be helpful for the committee.

I understand that providing false or misleading information on any part of this application will disqualify me from any current or future tuition support. *

I understand

Parent or Guardian Signature *

Type your full name below. Your name indicates your acceptance of the terms of this application.

Date *

Submit

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