Hoops & Homework - Scholarship Application Form
Please fill out this form if you are seeking a scholarship for our After School Program. Scholarships are limited; a scholarship application does not guarantee a spot in our program.

Hoops & Homework, Inc. awards scholarships based on the child/family financial need and proof of Household Income Full scholarships covering all tuition fees or partial scholarships covering part of the registration fees may be awarded.

Parent Full Name *
Parent Email Address: *
Cell Phone Number: *
Address: *
Child's Name: *
Current Grade Level: *
School *
Current School
Select the number of days a week you would like to apply for? *
Select the month that you would like to begin: *
Total combined household income for 2017 *
Is your child approved by MCPS for Free and Reduced Meals for the current school year? *
Please provide a written description of why they want their child to attend Hoops and Homework?
We encourage you to submit a video of your child saying a few words about why they’d like to attend Hoops and Homework, and what basketball means to them. The video can be uploaded using this form or sent to us via Text Message to 301-938-4364. This step is NOT mandatory, though!
Submit your application along with a copy of your most recent 1040 tax return summary (2 pages) for proof of household income.
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