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Politisit Scholarship Application
Please provide the following information to apply for a childcare scholarship. Once we approve your scholarship request, you will be able to request funding for specific events. At this time we are working with clients in Oregon. We are hoping to expand to other states soon, so please let us know if you'd like us to be in touch at that time.
Name
Your answer
Address
Your answer
Phone Number
Your answer
Email Address
Your answer
How many children will you usually need care for?
Your answer
What is your babysitter's usual rate?
Your answer
Which do you prefer to receive funds?
If you chose Paypal for reimbursement, please provide the email address associated with your Paypal account below
Your answer
What types of civic engagement are you interested in attending?
Your answer
Is there anything else you would like us to know about your scholarship application?
Your answer
How did you hear about us?
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