Statement of Financial Need
Statement of Financial Need
Challenge Success has created a financial assistance fund in an effort to support schools and organizations with limited resources. We believe that cost should not be a deterrent in accessing quality programs.

Please note that all financial assistance requests must be specifically need-based. To apply, please complete this form and press submit. All requests will be reviewed by our Executive Director, Kathy Koo.
School/Organization name: *
School/Organization address: *
School type:
Clear selection
Number of students served: *
Percent of students who qualify for the Free and Reduced Price Lunch program or tuition assistance:
Contact name: *
Email address: *
Phone: *
Please indicate which Challenge Success program or service you are requesting. *
Please describe how this Challenge Success program or service will benefit your community. *
Please provide information describing your budget and need for financial assistance. *
Please indicate how much you can contribute financially to the Challenge Success program fee or service you are requesting. *
Never submit passwords through Google Forms.
This form was created inside of Challenge Success. Report Abuse