Scholarship Application (Summer Program)

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Please note that this scholarship is for families in poverty (see chart below for guidelines). The scholarship will be awarded to a child under 18 years of age. Please note that proof of income (tax statements) must be sent prior to receiving scholarship.

Please note: A family is considered a child or children and the natural, adoptive or step-parents residing in a household. Scholarship eligibility is determined using the chart below.

Poverty Guideline Chart

First and Last Name (parent or guardian)

Email Address

Phone Number (xxx-xxx-xxxx)

Child's First and Last Name

Do you meet the qualifications for this scholarship, according to the chart above?

Yes

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Tell us your story--why do you need this scholarship?

Submit

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