Summer 2021 Scholarship Form
If you're interested in taking a class as a part of our College for Kids and Teens program and need financial assistance, please complete this form. While funding is very limited, we will do our best to consider all requests. To view our full summer course catalog, please visit:
Student Name (First Last)
Grade in Fall 2021
School District Name
Parent/Guardian Name (First Last) & Phone Number
Home Address (Street, City, State, Zip)
What courses are you hoping to take? Please include course title and start date.
Is your family enrolled in a free or reduced lunch program at your school?
I'm not sure.
Please tell us why you are interested and what makes you a good candidate for our scholarship program.
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This form was created inside of Mohawk Valley Community College.