Scholarship Application
Sign in to Google to save your progress. Learn more
Email *
(Seminars & Special Courses)
Please fill out this form to apply for a scholarship for seminars and special courses.
First Name *
Last Name *
Phone Number *
Your Home Dojo *
Required
Referred By:
What are you requesting a scholarship for? *
Required
Date of seminar or course *
MM
/
DD
/
YYYY
Circumstances: *
Please tell us what the financial circumstances are that prompted you to request a scholarship.
How much are you able to pay for this seminar/course *
Additional Message (Optional)
Please email supporting financial documentation to admin@aki-usa.org
A photo of your tax return main page is best. Otherwise, a recent pay stub may also suffice.
Thank you for your interest in our event! Your request will be reviewed at the next meeting of our Board of Directors and you will be notified of their decision.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy