2018-19 Youth Enrichment Scholarship Form
One to One Mentoring provides special scholarship assistance to Mentees for local sports and enrichment activities. If your Mentee is interested in participating in a special program, community activity or sport and can demonstrate financial need, please complete this application.
YOUTH NAME *
PARENT/ GUARDIAN NAMES *
FAMILY PHONE NUMBERS *
FAMILY MAILING ADDRESS *
YOUTH INVOLVEMENT IN ONE TO ONE MENTORING *
ANNUAL FAMILY INCOME (January to December) *
QUALIFIES FOR THE FREE/REDUCED LUNCH PROGRAM? *
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