2024 NM NICA (NMICL) Student Scholarships
This is for the 2024 season of New Mexico NICA (aka New Mexico Interscholastic Cycling League-NMICL).
If you need financial assistance to cover your season fees, please fill out this application. We'll do our best to respond within two weeks.
Sign in to Google to save your progress. Learn more
Email *
Financial Assistance Questions below:
Team Name *
Coach Name *
Parent Full Name *
Student Full Name *
Email Address *
Phone Number *
Which race classifications best describes your student?  

This in no way affects your scholarship request and will remain confidential. The grant supporting our scholarship fund requires that we track this data for students who receive scholarships.
*
American Indian or Alaska Native
Asian
Black or African American
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
Caucasian
Other
Select all that apply
Ethnicity  *
Does your student qualify for free lunch?

Again, this will not affect your application, but is part of our grant tracking.
*
What are you requesting scholarship funds for? *
Required
If you're able to pay for any portion of the original fee, please let us know how much you can contribute. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report