Program Scholarship Application

Annie’s Answer is a non-profit organization supported by public donations and grants. This information will be kept confidential and is used only for scholarship consideration, and donation and grant generalized (anonymous) data purposes.

For scholarship consideration, the entire application must be completed in full – Many different types of scholarships are available from different donors, based upon participant’s specific background and needs, and are not limited to financial consideration alone. These unique questions help us to match participants to as many applicable scholarships as possible. 

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Student's Name: *
Email Address: *
You are required to submit your household's tax documents for the previous year.  If you need time to gather those, please do so now and then come back to this registration form.  

Check the boxes below to confirm that you have emailed these documents (all on one email, with student's name as the subject) to anniesanswerinc@gmail.com 

you are responsible to redact SSNs
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Required
Program(s) and dates you are seeking scholarship for your student: *
The full cost for Annie's Answer programs are $50-100 per session ($400-800 for 8 week term). 

What final amount would your student need the price reduced to in order to make programs accessible for the following options?: (this is the amount you pay, after scholarships, multi program discounts, etc.):

1.  "If my student attends 1 program (attends once per week), I could afford $______ per week or $____ total" 

2. "If my student attends the maximum number of programs they desire (or maximum possible), I could afford $____ per week or $______ total."

3.  Do these amounts change if you could qualify for a payment plan? Please list total amount & weekly payment affordable to your household.  

*Your response should have 3 answers*
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Has your student ever received an Annie's Answer scholarship before? If yes, list the years & programs & amounts.  *
For the following questions, please type Yes, No, or Unknown.  If yes, please include any applicable details.  (these details help us match your students to all scholarships possible). 

e.g.: Question: Is your student currently in the foster care system?
Answer: Yes - she entered foster care in 2018 in Fayette County due to substance abuse of both parents. We are her 5th foster placement. She has been in our home 9 months now. 

These details allow the student to be considered for up to 4 different scholarships, compared to just 1 if details were not provided.
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Is your student currently in the foster care system? (This also includes relative placement or 'fictive kin' placement, IF the state holds custody and has "placed" the child into your home.) *
Has your student been adopted? (please include whether private or via foster care, and age when adopted) *
Excluding foster care and adoption - addressed in previous questions:
Is your student's custodian or legal guardian different from either biological parent? (e.g. anyone other than bio-mom or bio-dad raising child (without help of bio-mom or bio-dad)?
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Has your student been a victim of sexual abuse or trafficking? *
Has your student been a victim of physical abuse? *
Has your student been a victim of emotional abuse?
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Has your student been a victim of bullying?
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Has your student witnessed domestic violence in their home or previous home(s)?
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Does your student have a current EPO/DVO/IPO or other no contact order or "restraining order" in place (protecting the student)?
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Does your student have an incarcerated parent or caregiver?
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Does your student have a parent, caregiver, or sibling struggling with addiction?
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Does your student have a terminally ill parent, caregiver, or sibling?
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Does your student have a chronically ill or otherwise disabled parent, caregiver, or sibling?
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Has your student suffered the death of a caregiver, parent, or sibling?
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Does your student have any conditions or diagnoses that cause chronic pain or pain disorders?
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Does your student have any medical conditions or diagnoses, in general?
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Does your student have any mental health conditions, diagnoses, or symptoms?
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Does your student have any mental health conditions, diagnoses, or symptoms?
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Does your student identify as LGBTQ+?
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Does your student qualify for SSI or SSDI?
 *
Demographics 
(you're almost done!)
These are short answer - no need to explain.
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What are your student's race and ethnicity?
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Does your student identify as disabled?
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Does your student identify as underserved youth?
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Is your student from a single parent home? past or current?
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Any religious affiliation?
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What is the career & education level of each caretaker in the home? (and bio parents, if different)? *
Does your student qualify for any waivers or special programs? (including, but not limited to: Michelle P waiver (MPW), Supports for Community Living (SCL), WIOA/Wagner-Peyser, etc.) *
Does your student receive any accommodations in school? (including but not limited to: special or additional instruction, IEP or 504 plan, speech therapy, occupational therapy (OT), physical therapy (PT), or any other therapies or healthcare?  *
Financial Information - 
*NOTE: Our scholarships are not determined by financial position or household income or other traditional "sliding scale" methods.
When requesting household financial information, please accurately provide this information, even if you are a foster parent or otherwise think this does not apply to you.  
This information is used only to provide lower costs in the future  - by showing scholarships are sought by families of various financial positions who are trying to access services for students that could not otherwise have access.  
We submit anonymous financial data to support the fight for: 
1. health insurance companies in Kentucky to cover equine assisted learning & therapy (as they do in other states). 
2. KY foster care system to cover a portion of costs, so the burden is not on foster parents (we understand the monthly stipend is usually insufficient). 
3. KY public schools to assist more families with alternative services & therapies. 
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Does your household receive government or non-profit financial assistance or support? 
This includes, but is not limited to: SNAP (food stamps), childcare/daycare assistance, Section 8 housing, K-Tap, LIHEAP/utility assistance, etc.). 
If yes, please list each type of assistance and amount received.  
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Please list any and all income, financial support, or other monies your household receives on behalf of your student ONLY. 
e.g: Child support, foster care payments, adoption assistance payments,  SSI/SSDI payments, survivor death benefits, etc.
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Please list any and all income, financial support, or other monies your household receives on behalf of other children or dependents in the home.
e.g: Child support, foster care stipend,  SSI/SSDI payments, survivor death benefits, pension, retirement, etc.
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Please list all other income for the household (or both households if divorced/separated). 

This includes any and all income, financial support, or other monies your household receives on behalf of ADULTS in your household. (any adults living in the household (even if not financially supporting the household), or living outside the home but financially supporting the household).  
e.g: wages from job, retirement or pension payments, alimony or spousal support, SSI/SSDI, any lawsuit or lottery related payments,  rental property income, gift income, etc.
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Do any adults in your household, or your student, qualify for any child care or summer camp reimbursement programs of any type? (whether through: state assistance, employer programs, waiver programs, survivor benefits, foster care/adoption programs, or any other program.)  *
Please explain any financial stressors or hardships within your household.  *
Tell us why Annie's Answer Summer Camps are important to your camper, and how a scholarship could help your student overall.   *
Please include any information you'd like us to know that we didn't ask! 

Most scholarships require participants and custodians/caregivers to “give back” through completing volunteer hours with Annie’s Answer.  We believe this teaches our students the value of hard work & giving back, and allows them to fully understand & appreciate the Annie’s Answer process to building strong character & a strong community.  Volunteering tasks are fun, simple, and age/ability appropriate. Hours can be completed on various volunteer days or at other times arranged with Annie’s Answer.

Please type your name to indicate custodian(s) and your student agree to participate in volunteer hours. ­­­­­­­­­

Please also list any special skills or limitations to be considered for volunteer hours.

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your email address: In case we have any follow up questions: *
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