Scholarship Application
Fill out this form to apply for financial for ongoing membership.
First Name
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Last Name
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Phone Number
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Dojo
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Referred By:
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Circumstances:
Please tell us what the financial circumstances are that prompted you to request a scholarship.
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Future change foreseen?
Do you anticipate that your financial situation will change in the future?
If so, when/how?
When do you expect this change to happen and how do you expect it to affect your situation?
Your answer
Proposed monthly dues
Average monthly dues are approximately $120/month. How much can you pay per month?
Your answer
Proposed AKI USA yearly dues
AKI USA yearly dues are $60 for Adults, $50 for Teens & Tweens, and $35 for Kids per year. How much can you pay?
Your answer
Proposed HJCI yearly dues (AKI Hollywood members only)
HJCI yearly dues are $20 per family per year. How much can you pay?
Your answer
Proposed registration fee
The registration fee is $50. How much can you pay?
Your answer
Proposed testing fees
Testing fees are $45-$55 for Adults, $40 for Teens & Tweens, and $35 for Kids. How much can you pay?
Your answer
If you don't already have a uniform...
Our Adults' Economy Uniform is $50. How much can you pay?
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Proposed starting date
MM
/
DD
/
YYYY
Length of commitment: (months)
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Message:
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Please email supporting financial documentation to admin@aki-usa.org or text to 424-209-2083.
A photo of your tax return main page is best. Otherwise, a recent pay stub may also suffice.
Thank you for your interest in our dojo. Your request will be reviewed at the next meeting of our Board of Directors and you will be notified of their decision.
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