Scholarship Application

Please provide complete information on each line below. All information given on this application will be kept confidential. When complete please return to the Recreation Office.

 

Does the applicant currently participate in the free/reduced lunch program at school?

Free

Reduced

Has this applicant ever been awarded a scholarship from this department before?

Yes

No

Winter Spring

Summer Fall

I certify that all statements are true, correct, and complete to the best of my knowledge and belief. I understand that this information will be used only to verify my eligibility for a scholarship, and that falsification of any data given may disqualify me from scholarship consideration.

Yes

No