NECCA Winter 2019 Scholarship Request
→NECCA is a not-for-profit company and it is our mission to provide circus for everybody and every body.
→The maximum scholarship available is up to 50% off one session class per family or household unit per session.
→To be considered for scholarship assistance, the applicant must have an up-to-date balance and make a 50% deposit toward the desired class.
→If a scholarship does not become available, we will offer a payment plan or refund your deposit.
→The scholarship application deadline for the winter session is Monday December 17th, 2018. Applicants will be notified by Friday December 21st, 2018.

Note: If you wish to receive a scholarship, your income or that of the party responsible for paying your charges may need to be verified by copies of pay stubs and/or tax returns, and bank statements.

Name of Student *
Your answer
Name of Applicant (if different from student)
Your answer
If under 18, Full name of Parent or Guardian
Your answer
Name and Day/Time of Class You Want to Take *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Home Address *
Your answer
I am responsible for all of my charges *
If "No" Above, who will be responsible for your charges?
Your answer
Monthly Income (of individual paying) *
Your answer
Number of Dependents of Person Responsible for Paying (Include Head of Household) *
Your answer
Monthly Expenses *
Your answer
Anything else you would like to add?
Your answer
Submit
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