The Studio Needs-Based Scholarship Application Form  
Please complete the form below to be considered for a needs-based scholarship with The Studio.  This form may be used for After School, Pre-K, Summer Camp and any program offered at The Studio. All information will be kept confidential.  If you have any questions, please contact Samantha Lock at Sam@theobxstudio.com or #252-207-2933.
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Email *
Child's Name, Grade & School *
Parents Name(s) or Applicants Name *
Parent/Guardians Employer *
Parent/Guardians Address *
Applicants Cell/Phone Number *
Statement of Need: please explain, in as much detail as possible, the reason(s) you are requesting a needs-based scholarship for your child
 *
Please list the program (after school, Pre-K, Summer camp, etc)  you are requesting a scholarship for and in as much detail as possible explain the amount you feel your family can financially commit to the program.  For instance, if you are requesting a scholarship for summer we would need to know how much you could pay for a week of care.  Please provide a range of what you your family can afford so we can meet best meet the needs of all our applicants.  *
In the space below, please write your household gross annual income*
 *
A copy of your responses will be emailed to the address you provided.
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