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Scholarship Application

STUDENT INFORMATION

ACADEMIC NEED

Why are you seeking support for your child? (Select all that Apply)

HOME AND FAMILY SUPPORT

Does your child have reading support at home?
Yes
No
Sometimes
Does anyone at home speak/read English confidently?
Yes
No
Is your child a first-generation immigrant?
Yes
No

FINANCIAL NEED

Household Monthly Income
Under $1,500
$1,500-$2,500
$2,500-$3,500
Over $3,500
Does your family receive any assistance?
Medicaid
SNAP
WIC
Housing Assistance
None

COMMITMENT

We ask families to support their child's progress by:

  1. Bringing them to tutoring on time

  2. Encouraging reading at home

  3. Staying in communication with our team

SIGNATURE

I certify that the information provided is true and accurate.

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