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Scholarship Application
First Name
Last Name
Email
Phone Number
How many children are you applying for?
Why are you applying for a scholarship?
Are you a single parent?
Yes
No
Do you work?
Full-time
Part-time
Seasonally
Not at all
Does your spouse work?
Full-time
Part-time
Seasonally
Not at all
Not applicable
What is your annual household income?
How many dependents are in your household?
Every family must at least pay a $50 deposit per child. In order to stretch available scholarship funding over as many families as possible, we ask that each family offer to pay the amount they CAN afford (in addition to that $50 deposit.) How much, in addition to that $50 deposit, would you be able to afford for each child?
Is there anything else you would like us to know to help make our decision?
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