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The ArcMorris Krauklis-Dinday McARP Scholarship Application
Fill out this form to apply for a scholarship to help fund fees associated with ArcMorris McARP activities.
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* Indicates required question
Email
*
Your email
MM
/
DD
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YYYY
Full Name of Applicant
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
Street Address
*
Your answer
City
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Your answer
State
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Your answer
Zip Code
*
Your answer
Does the applicant have an intellectual or developmental disability?
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Yes
No
Age of the applicant
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Your answer
What is the reason for applying for this scholarship? (select all that apply)
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Applicant currently resides in a group home and does not have funds to pay
Applicant is not eligible for DDD fee-for-service and does not have funds to pay
Other:
Required
Please explain in details what other funding you have applied for and why you are in need of this scholarship approval?
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Your answer
When would you like to start attending the program?
*
MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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