FOCUS Richmond Scholarship Request Form
We at FOCUS want every student who wishes to go to a national program to be able to attend. Please fill out the form below so that as we are able, we can make scholarship money available. In most cases, we do not offer 100% scholarships.  

We are also able to set up a payment plan for the registration fees. We can charge you a set amount on a monthly or quarterly basis. Please note if you would like to set up a payment plan.

We will contact you regarding this request as soon as we can.
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Student's Name: *
Student's Current School and Grade: *
Parent's Name: *
Address: *
Parent's Phone Number: *
Parent's Email: *
Program for which you are requesting a scholarship: *
Total Program Fee: *
Amount of Scholarship Requested: *
Additional Comments:
Payment Plan Options:
Total Amount of Payment:
Amount per Payment:
Payment Frequency:
Clear selection
Total Number of Payments:
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