kidsLINK Afterschool Scholarship Application
Thank you for your interest in applying for a kidsLINK Afterschool Scholarship. Please note: You must complete the REGISTRATION form in order for your child to attend the kidsLINK Afterschool Program. This is not the registration form. The registration form can be found at . If you have not yet registered, please do so now. The scholarship request form is part of the registration form. THIS scholarship form is for anyone who already completed the registration form but did not answer the scholarship questions on it. If you have any questions, please email
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
Preferred Phone Number *
Your answer
Email Address *
Your answer
Are you a returning or new kidsLINK Afterschool Family? *
School your Child(ren) Attend *
Your answer
Have you received a kidsLINK Scholarship in the past? *
Please provide the first and last names for each child in your family for whom you are requesting scholarship support *
Your answer
How many people, including yourself, live in your household? *
Please select your household gross annual income (before taxes) *
Please select the number of days per week that your child(ren) is likely to attend kidsLINK. *
Please select the number of months you child(ren) will likely attend kidsLINK Afterschool. *
Please select one of the following options. This is not a final rate. We will contact you if a scholarship is awarded. *
A Scholarship Committee will review scholarship requests. Please share information about your need for a scholarship. *
Your answer
I understand that by applying for a scholarship I will be asked to submit the first 2 pages of my 2017 IRS Form 1040. *
If you have any additional information you would like us to know, please briefly describe here or email Thank you.
Your answer
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