Application for Financial Consideration

Please note that in order to receive a scholarship:

You must be enrolled in classes for the current season.
You must participate in at least two fundraisers during the current season.
The student receiving the scholarship must show motivation, respect, good listening skills, and an excellent work ethic during class. Attendance will be monitored.
SCA reserves the right to retract the scholarship at any time during the season if the above requirements are not met. One written warning will be given prior to retraction.

Please complete and submit the form below to be considered for financial assistance.

Student's Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Age*
Birthdate*
Date Format: MM slash DD slash YYYY
Past Experience*
Mother's Name*
First Last
Phone*
Email*
Employer*
Members in Household*
Gross Monthly Income*
Father's Name*
First Last
Phone*
Email*
Employer*
Members in Household*
Gross Monthly Income*
Reason for Request*
Digital Signature*
Person completing form - by typing your name in the space above, you verify that all the information on the form listed above is true and correct.

	July 2019
Sun	Mon	Tue	Wed	Thu	Fri	Sat
	1	2	3	4	5	6
7	8	9	10	11	12	13
14	15	16	17	18	19	20
21	22	23	24	25	26	27
28	29	30	31 Mallards Performance! Mallards Performance! July 31, 2019 See more details •