Scholarship Request Form

Campus:*
Employee Name*
First Last
(A new scholarship request form must be completed for each child.)
Child's Name*
First Last
Age of child:*
Weekly tuition rate before scholarship:*
Type of scholarship being requested:*
Anticipated start date for scholarship:*
MM slash DD slash YYYY
Reason for scholarship -or- Comments:
Name of Director:*
First Last
This form must be completed by the Director and will automatically be submitted to the CEO for approval. Scholarships cannot be offered to the employee until approved.

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