Scholarship Application
Fill out this form to apply for financial aid for one of our Deshi Programs
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Referred By:
Your answer
Applying for:
Circumstances: *
Please tell us what the financial circumstances are that prompted you to request a scholarship.
Your answer
Future change foreseen? *
Do you anticipate that your financial situation will change in the future?
If so, when/how?
When do you expect this change to happen and how do you expect it to affect your situation?
Your answer
Proposed monthly dues (First 90 days) *
First 90 days: $200/month. How much can you pay per month?
Your answer
Proposed monthly dues (After 90 days)
Depends on length of commitment, but averages about $174/month.
Your answer
Proposed registration fee *
The registration fee is $50. How much can you pay?
Your answer
Proposed starting date *
MM
/
DD
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YYYY
Length of commitment: (months) *
Your answer
Message:
Your answer
Please email supporting financial documentation to admin@aki-usa.org or text to 424-209-2083.
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 dojo. Your request will be reviewed at the next meeting of our Board of Directors and you will be notified of their decision.
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