BUMP: The Triangle Scholarship Application Form
BUMP: The Triangle is dedicated to providing assistance to families in need in order to offer our program to all families and children that are interested.

Eligibility will be based on income level and household size.

Eligibility is not a guarantee of Scholarship. Applications will be considered and approved on a first-come, first-serve basis, so we recommend applying early each session.
Email address *
Name of Student
Parent/Guardians Name
Contact Phone Number
Please state your annual household income below. Please be prepared to provide some form of documentation proving your income (ie. paystub, bank statement, tax documents). *
What is your household size? *
SIGNATURE: My electronic signature certifies that the information provided is true and accurate to the best of my knowledge. (Your typed name will serve as your official signature for this form.) I understand that any falsification of information provided in this application and/or the attachments will terminate financial assistance. I further agree, as a condition to receiving any financial aid, to inform BUMP: The Triangle of any changes in my financial situation that may occur during the next year.
Today's Date
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