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Scholarship Application for Rec Programs

Ashland Parks & Recreation Commission (APRC) Rec Programs

SCHOLARSHIP APPLICATION

APRC APRC Logo scholarships provide partial financial assistance for recreation programs. Each applicant can apply for one scholarship, toward one program each fiscal year. (APRC's fiscal year is July 1 to June 30.)

* PARTICIPANT 1 NAME:

* BIRTHDATE (mm/dd/yyyy):

* PROGRAM Scholarship would apply to:

PLEASE ENTER ADDITIONAL PARTICIPANTS BELOW
(For more than 4 participants, please complete another application)

PARTICIPANT 2 NAME:

BIRTHDATE (mm/dd/yyyy):

PROGRAM Scholarship would apply to:

PARTICIPANT 3 NAME:

BIRTHDATE (mm/dd/yyyy):

PROGRAM Scholarship would apply to:

PARTICIPANT 4 NAME:

BIRTHDATE (mm/dd/yyyy):

* PARENT/GUARDIAN NAME:

* ADDRESS

* CITY, STATE:

* ZIP CODE:

* PARENT/GUARDIAN PHONE (no spaces, no non-numeric symbols):

* PARENT/GUARDIAN EMAIL:

* PARENT/GUARDIAN EMPLOYER (if unemployed, indicate so):

If applicable, PARENT/GUARDIAN WORK PHONE (no spaces, no non-numeric symbols):

* # of FAMILY MEMBERS:

CHECK ALL THE PARTICIPANT(S)/FAMILY QUALIFY FOR:

AFDC

Food Stamps

WIC

Free/Reduced School Lunch

HAVE YOU CONTACTED ANOTHER ORGANIZATION FOR FINANCIAL ASSISTANCE?

yes

IF YES, LIST ORGANIZATION(S) and when you contacted them:

* WHAT IS YOUR MONTHLY FAMILY INCOME?

PLEASE PROVIDE ANY OTHER INFORMATION YOU FEEL WOULD BE HELPFUL IN MAKING OUR DECISION:

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Back to Homepage

Scholarship Application for Rec Programs

Ashland Parks & Recreation Commission (APRC) Rec Programs

SCHOLARSHIP APPLICATION

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