Eugene Science Center Scholarship Request Form
We are excited that your child is interested in a program at Eugene Science Center! Please read all instructions carefully and fill out this form to give us more information about your scholarship request.

While we cannot guarantee we will be able to meet the full need of each request, we are expecting to award more scholarship funds this summer to help families impacted by the COVID-19 situation.

To speed up the process of awarding scholarships, be prepared now to provide documentation of any public assistance programs your family is enrolled it, such as school-based free/reduced lunch programs, SNAP, OHP, WIC, etc. If you are recently out of work due to COVID-19 and cannot provide this type of documentation, please write a brief letter describing your current financial hardship.

This documentation should be emailed to after you have completed this form.

To ensure you receive timely information regarding your scholarship award, please add "" and the phone number (541) 682-7895 to your contacts. It is unfortunate when we are unable to reach families who are awarded scholarships due to full voicemail inboxes and missed emails.

Thank you for your patience during this difficult time. We are looking forward to a summer of science fun!


Karyn Knecht
Education Director
Email *
Parent/Guardian requesting scholarship (First & Last name): *
Best phone number to contact you at: *
If we are unable to leave a voicemail, may we text you at this number regarding your scholarship request?
Clear selection
Never submit passwords through Google Forms.
This form was created inside of Eugene Science Center, Inc.. Report Abuse