2018 Academy After Hours Scholarship Application
We would like to invite all of our students to apply for scholarships for Academy After Hours (AAH) courses that have sufficient enrollment to run and are not full. We reserve at least one spot in each course for scholarships. Families can submit separate applications for each of their children.
Scholarship Offer
The Academy After Hours (AAH) is committed to providing children with access to a wide variety of educational enrichment opportunities. No child should be denied the opportunity to partake of these experiences due to financial need. To that end, AAH is proud to offer educational scholarships to children who have a demonstrated financial need. Additionally, AAH is looking to further expand these opportunities by developing partnerships, winning grants, and gaining foundation support. The data from participating students and their families can faciliate AAH to apply for federal and foundational grant awards to support our programs. Every student who participates in our survey will not only be considered for needs-based support, but will also be entered in a lottery for additional educational scholarships from the Academy After Hours.
Anti-Discrimination Policy
The policy of the Academy After Hours (AAH), aligned with BCTS Board of Education (BOE) mandates, is to reduce stereotyping and to eliminate bias on the basis of race, color, creed, national origin, disability, gender, or sexual orientation in scholarship applications or awarding of scholarships.
Confidentiality Statement
The policy of the Academy After Hours (AAH), aligned with BCTS Board of Education (BOE) mandates, is to keep all demographic information confidential. This data is analyzed and utilized only in order to obtain grants to support the further development of public educational programs. Under no circumstances will data be shared, sold or transferred with any other public or private entity other than federal grant applications or private foundations offering grant awards. All demographic data will be coded or encrypted to further enhance confidentiality and privacy issues. The information and data provided will remain your information and data. AAH will not use your information and data for purposes other than those purposes for which you provided such information and data to us or for which you otherwise authorize the AAH, in writing, to use such information and data. AAH will restrict access to the information and data that you provided to those persons who will evaluate the data collected for purposes of determining eligibility for financial awards or assistance.

AAH will not disclose information or data to any third party unless the disclosure is authorized by the participant of the survey in writing or that participant is compelled by an order of a court, administrative agency, or other governmental body. AAH will comply with any
such order only after providing the survey participant with written notice of such order so that the participant would have the opportunity to seek a protective order or other
restriction on the disclosure of the data provided.

Student's Last Name *
what is your child's last name?
Your answer
Student's First Name *
what is your child's first name?
Your answer
Parent's Name *
Please write your first and last name below
Your answer
Email *
Please supply an email address that you read regularly; you will be contacted at this address if your child qualifies for or wins a scholarship.
Your answer
Telephone *
Please enter the area code and number for a cell phone or home phone where we can reach you.
Your answer
Student Questions
The questions in this section refer to your child.
Student's Gender *
Student's birth year *
(four digits) example: 2002
Your answer
Student's current grade level *
Student's ethnicity
Student's School *
Please write the complete name of the school (or "home-schooled")
Your answer
What is the student's Grade Point Average (GPA) or letter grade equivalent?
How many siblings (brothers or sisters) does the student have? *
What is the student's native language? *
What is the primary language spoken at home? *
Does the student have Limited English Proficiency (LEP) status?
Parent Information
The questions in this section refer to the parent submitting the application
Parent's Gender *
Parent's Age *
Parent's ethnicity
What is the highest level of school you have completed or the highest degree you have received? *
Which of the following categories best describes your employment status?
Financial Circumstances
Does the student qualify for the National School Lunch Program?
Note: children in any family which receives Supplemental Nutrition Assistance Program (SNAP) benefits automatically qualify for free school meals; these children ALSO AUTOMATICALLY QUALIFY for AAH scholarships.
What were your approximate HOUSEHOLD earnings in 2011?
Household earnings include money from jobs; net income from businesses, farms, or rent; pensions or social security payments; dividends, interest, or any other money income received by any member of the household who are eighteen (18) years of age or older.
Are your living quarters owned, rented, or occupied without payment of cash rent?
Extenuating Circumstances
Please indicate any difficulties that may affect your family and should be taken into consideration to determine the student's need for scholarship assistance.
Your answer
THANK YOU!
By completing this survey, you not only enable us to provide scholarships to a variety of qualified students, you also help us in our efforts to obtain additional support in order to develop our offerings for everyone in the community. Thank you again for taking the time and making the effort to provide this information.
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