YMCA Michigan Youth in Government M.S. Scholarship Application
Any Middle school delegates showing financial need may apply for this scholarship. Applications must be submitted by midnight on Monday, September 25, 2017 . This web site will close at that time and no further applications will be considered. A confirmation of your application will be sent to your advisor via email. Scholarship awards will be no less than $50 and recipients will be notified through advisors by Monday, October 2, 2017. Thank you for applying!

*All information obtained in this application will be kept confidential and will be destroyed after the recipients have been selected.

First Name
Your answer
Last Name
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Primary Phone Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Email address
Your answer
Region
Years you have attended YIG (including this year)
Next
Never submit passwords through Google Forms.
This form was created inside of YMCA Hayo-Went-Ha Camps. Report Abuse - Terms of Service - Additional Terms