ACT: 2020-21 Scholarship Application
Please complete the following form below by the deadline stated in each class description.

Please reach out to Amanda at with questions.
Email address *
Your Name *
What is the best phone number to reach you at? This is how we will contact you to finalize scholarship details so please provide an active phone number. *
Alternate Phone Number where we can reach you? *
Student's Name (if applying for a Youth class scholarship) *
Household Icome: *
Number of household Dependents: *
Which scholarship level are you applying for? (availability is class dependent) *
Which Class are you registering for? (please specify Adult or Youth class) *
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