U the Teen Leader Scholarship Application
Parents and guardians, please complete and submit this form to be considered for a scholarship. Please also have the nominated teen complete the TEEN Application form.
Teen Name *
Your answer
Teen Date of Birth *
MM
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DD
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YYYY
Teen Street Address, City & State *
Your answer
Teen Zip Code *
Your answer
Teen Email Address *
Your answer
Parent or Guardian Name *
Your answer
Parent or Guardian Email Address *
Your answer
Parent or Guardian Phone Number *
Your answer
Parent or Guardian Agrees to: *
Required
Free/Reduced Lunch Qualification *
Annual Household Income
Total # of people living in Teen's Household *
Your answer
How did you hear about the U the Teen Leader Program? *
Why is it important for your teen to gain leadership skills? *
Your answer
Describe two (2) strengths of your teen and how he or she demonstrates those strengths. *
Your answer
What do you hope your teen will gain as a result of participating in U the Teen Leader? *
Your answer
How do you plan to support your teen in achieving his or her goals? *
Your answer
Please describe how a partial or full scholarship will assist you in supporting the teen as described above. *
Your answer
Please indicate the amount, if any, you are able to cost share for U the Teen Leader ($0-$1650). The U & Improved Leadership Foundation will scholarship as much as possible and requested; your response assists us in being good stewards of all funds raised in the community in support of teen leadership.
Your answer
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