Blosser Center Tutoring Scholarship Application
Thanks to generous donations, the Blosser Center can offer a limited number of need-based scholarships for the 2023-2024 school year. To be considered for a scholarship, please complete the information requested below.  For questions regarding our scholarship program, please contact our Executive Director via email at
Awards will apply to 64 sessions delivered between September 1, 2023, and June 2, 2024.
Please note that the Center will not be able to fund all requests for support that are received.
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Student's Name: *
Student Gender (Optional):
Clear selection
Student Race (Optional):
Is your student currently being tutored by the Center? *
Is your student currently receiving tutoring from the Blosser Center? *
Please review the sliding scale table and let us know which applies.

Our family income is:
Sliding Scale Table of Federal Poverty Level (FPL)-  a measure of income issued by the Department of Health and Human Services.
Parent/Guardian Name: *
Phone: *
Email: *
I understand that providing false or misleading information on any part of this application will disqualify me from any current or future tuition support. *
Parent or Guardian Signature *
Type your full name below.  Your name indicates your acceptance of the terms of this application.
Date *
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