Application for Financial Assistance
This application should be filled out by the parent/guardian or applicant over the age of 18 who is financially independent. Please note that all the information provided in this application is used by the Rubicon Education Department and the Scholarship Committee solely for evaluation purposes and is completely confidential.
Applicant Information
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
What program are you requesting financial assistance for? *
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