The Arkansas Regional Innovation Hub Youth Classes Scholarship Application 2019-2020
Thank you for your interest in applying for a scholarship. Please complete this form and we will contact you after we have reviewed the information. Thank you
Email address *
Today's Date *
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Student Name *
Your answer
Student Date of Birth *
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School Currently Attending *
Your answer
Has your child attended a program at the Innovation Hub? *
If so, what did they learn or discover at the Innovation Hub? (If you answered ‘no’ to the previous question please move to the next question)
Your answer
Please have your child fill out this answer: Why do you want to attend an Innovation Hub After School class this year? *
Your answer
Parent/Guardian Name *
Your answer
Are you currently employed? *
What is your relationship to the student? *
Your answer
Spouse name (if applicable) *
Your answer
Is the spouse currently employed? *
What is the relationship of the spouse to the student? *
Your answer
What is your primary address? Please include street number, city and zip code *
Your answer
What is your primary phone number? *
Your answer
What is an alternate phone number? *
Your answer
What is your email address? *
Your answer
What is an alternate email address? *
Your answer
What is your annual household income? *
What is the total number of people living in your household? *
Your answer
Does your child qualify for the free lunch program at their school? *
Why are you requesting a scholarship to attend an after school class at the Innovation Hub ? *
Your answer
Please list the day(s) and classes your student would like to attend. You can view the classes at https://arhub.org/after-school/ *
Your answer
What kind of experience are you hoping will be provided to your child through the Arkansas Regional Innovation Hub After school classes? *
Your answer
How would this scholarship benefit your student and your family? *
Your answer
How did you hear about The Innovation Hub After School classes? *
Your answer
How may we contact you regarding your After school class scholarship? *
Is there anything else you would like to tell us about your child? *
Your answer
Does your child have any allergies? *
Your answer
I have completed all applicable information requested accurately and to the best of my ability. I understand that completion of this application does not automatically qualify me for assistance. Requests are subject to review based on need and availability of scholarship funds. You will receive notification if you are awarded scholarship money by Errin Stanger, Deputy Director of the Innovation Hub. Thank you for your patience. Please direct all questions to Errin Stanger at 501-907-6570 or estanger@arhub.org. *
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