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Scholarship Application

Thank you for your interest in receiving a sponsored spot in one of our small group tutoring sessions. Our goal is to support students who would benefit from academic help but may not currently have access due to financial constraints.

Click the button below to start your application.

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Question 1 of 14

Student’s Full Name

Question 2 of 14

Student's current grade (as of date of application)

A

kindergarten

B

first grade

C

second grade

D

third grade

E

fourth grade

F

fifth grade

G

sixth grade

H

seventh grade

I

eighth grade

J

high school

Question 3 of 14

 

School Name (if applicable): 

Question 4 of 14

 

Preferred Class/Subject Area(s):

(Select all that apply)
A

Reading / Literacy

B

Math

C

Writing

D

Homework Help

E

Other

Question 5 of 14

Parent Name

Question 6 of 14

Parent Phone Number

Question 7 of 14

Parent Email Address

Question 8 of 14

Preferred Language for Communication

Question 9 of 14

Please answer briefly—this helps us ensure fair placement.

   

1. Why would your child benefit from participating in this tutoring group?

(You can mention academic needs, social support, confidence building, etc.)

 

Question 10 of 14

Please answer briefly—this helps us ensure fair placement.

 

   2. Are there any special learning needs, strengths, or concerns we should know about?

 

 

Question 11 of 14

3. Would you be open to writing a thank-you note or sharing a photo of your child’s work (with your permission) to show our sponsors the impact of their support?

Question 12 of 14

Household Financial Need (Optional)

 

You do not need to submit proof. This question is optional and used to help us prioritize applications fairly.

(Select all that apply)
A

☐ My child qualifies for free/reduced lunch.

B

☐ We are experiencing temporary financial hardship.

C

☐ I prefer not to answer.

Question 13 of 14

Other Information I'd Like to Share

Question 14 of 14

Signature

By electronically signing below, I certify that the information provided is accurate to the best of my knowledge.

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