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Scholarship Application
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Full Name
*
Your answer
E-mail
*
Your answer
Full Name of Course
Your answer
Child's name (if you are applying for a child)
Your answer
Child's age (if you are applying for a child)
Your answer
Do you receive Medicaid, ANFC, or 3SquaresVT (i.e. food stamps)?
*
Yes
No
Monthly household income:
*
Your answer
Number of Dependents:
*
Your answer
Our adult scholarships typically max out at 50%, are you able to pay 50% of the course cost?
*
Yes
No
N/A
Please describe in detail any special circumstances that make it difficult for you to pay the full tuition and any other information that you would like us to know.
*
Your answer
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