Scholarship Application
Fill out this form to apply for financial for ongoing membership.
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Dojo *
Required
Referred By:
Your answer
Circumstances: *
Please tell us what the financial circumstances are that prompted you to request a scholarship.
Your answer
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?
Your answer
If you don't already have a bokto (wooden training sword)... *
Kids bokto is $30. Adults is $65. How much can you pay?
Your answer
Proposed starting date *
MM
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DD
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YYYY
Length of commitment: (months) *
Your answer
Message:
Your answer
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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