Scholarship Application Form (for students 18 & under)
Email Address (required)
Student Name
Student Birthday
Parent/Guardian
Phone Number
Address
City
State
Zip Code
Yearly Household Income	Select One... $0-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 $30,000-$35,000 $35,000-$40,000 $40,000-$45,000 $45,000-$50,000 $50,000 & above
Members in Household
I agree to fulfill my volunteer hours, make any partial payments required and consistently bring my child to class on time. I understand that once my child takes a class after the granting of a scholarship, I am obligated to fulfill the terms of the scholarship regardless of how many classes my child may miss. I also understand that if these terms are not fulfilled by the beginning of the next session, I will be obligated to pay the standard class fees.
I Agree (check for "Yes")