Scholarship Applicant Contact Information

Confirm Email*

Financial Information

Youth Name(s)*

Please submit Free and Reduced-Price School Meals approval letter to

Occupation, Employer (please list for all supporting parents/guardians)*
Other household Income (SNAP, TANF, LEAP, DDS, PEUC, Unemployment etc.)*
Gross Household Income*
What is the scholarship amount that you are requesting? (For full scholarship enter $445)*
Please tell us about your situation and why you should be considered for a scholarship*
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