PHS/MHS Student Activity Scholarship Request Form
Piedmont High School is committed to providing all students equal access to school activities. A limited number of full and/or partial scholarships are available each school year. To request a scholarship, please complete this form and submit it to the Assistant Principal for Student Services.
Email *
Student First & Last Name: *
Student ID Number: *
Date of Request: *
Name of Event *
Price of Event: *
Family Contribution ($ amount that a family can contribute toward the price of the event): *
Scholarship Amount Requested: *
Parent Signature (by writing my name here, I authorize this scholarship request): *
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This form was created inside of Piedmont Unified School District.