Girls Garage Scholarship Application
Please complete the following questions to be considered for a full or partial scholarship to attend Girls Garage. If a scholarship is granted, a registration form and release form will also be required.
Participant (Child) Information
First name:
Your answer
Last name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Grade level (2016 – 17):
Your answer
Current school attending (2016 – 17):
Your answer
Race/Ethnicity (optional)
Please select as many as apply:
Languages spoken at home
Your answer
Which Girls Garage class would you like to attend? (1st Choice)
Which Girls Garage class would you like to attend? (2nd Choice)
Primary Parent / Guardian Information
First name:
Your answer
Last name:
Your answer
Email address:
Your answer
Best contact phone number:
Your answer
Street Address
Your answer
City, State
Your answer
What is your occupation?
Your answer
Highest level of parent(s) education
What is your yearly household income?
Written response questions for CHILD (please have your daughter answer):
Tell us about yourself! What are you excited about lately?
Your answer
If you could build anything, what would it be and for whom?
Your answer
Written response questions for PARENT:
Why are you excited for your daughter to attend Girls Garage?
Your answer
If we are unable to provide a full scholarship for your daughter, would you be interested in a partial (50%) or “Pay What You Can” scholarship? If so, what amount would you be able to contribute?
Your answer
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