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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.
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Email
*
Your email
Financial Assistance Questions below:
Team Name
*
Your answer
Coach Name
*
Your answer
Parent Full Name
*
Your answer
Student Full Name
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Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
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
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
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Hispanic, Latino or Spanish Origin
Not Hispanic, Latino or Spanish Origin
Does your student qualify for free lunch?
Again, this will not affect your application, but is part of our grant tracking.
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Yes
No
What are you requesting scholarship funds for?
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NICA Student Season Registration ($75 NM + $50 National = $125)
Race Registration ($35x4 races = $140 )
Full Season & Race Registration ($265)
Other - please clarify below
Required
If you're able to pay for any portion of the original fee, please let us know how much you can contribute.
*
Your answer
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