Financial Assistance Application

Please complete this application and return to the Director. You must provide a copy of your latest Federal tax return, your most recent pay stub(s) and any other documentation you feel may be pertinent to your application. Your application and financial information will be kept confidential. Please fill out the following individual or family information (even if there is only one income). Income qualification based on sliding scale limits does not guarantee that scholarships will be awarded. Please be aware that there are limited dollars available for distribution and are distributed to those who demonstrate the greatest need.

I am requesting scholarship help with:

Financial Statement

Income:

Expenses

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If yes, 

Thanks for submitting!