Scholarship Application
Fill out this form to apply for financial for ongoing membership.
Email address *
First Name *
Last Name *
Phone Number *
Dojo *
Required
Referred By:
Circumstances: *
Please tell us what the financial circumstances are that prompted you to request a scholarship.
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?
Proposed monthly dues *
Average monthly dues are approximately $120/month. How much can you pay per month?
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?
Proposed HJCI yearly dues (AKI Hollywood members only) *
HJCI yearly dues are $20 per family per year. How much can you pay?
Proposed registration fee *
The registration fee is $50. How much can you pay?
Proposed testing fees *
Testing fees are $45-$55 for Adults, $40 for Teens & Tweens, and $35 for Kids. How much can you pay?
If you don't already have a uniform... *
Our Adults' Economy Uniform is $50. How much can you pay?
If you don't already have a bokto (wooden training sword)... *
Kids bokto is $30. Adults is $65. How much can you pay?
Proposed starting date *
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Length of commitment: (months) *
Message:
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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