swim lesson scholarship | Asotin County Family Aquatic Center

SCHOLARSHIP APPLICATION

FRIENDS OF PARKS AND REC SCHOLARSHIP APPLICATION

All applications are reviewed and processed by the Friends of Parks and Rec. Scholarships are good for swim lessons through the Asotin County Family Aquatic Center only. Applications are reviewed on the last day of each of the following months: February, May, August, & November.

Friends of Parks and Rec Scholarship Application

All applications are reviewed and processed by the Friends of Parks and Rec. Applications are reviewed that last day of each of the following months: February, May, August, & November.

Name of Scholarship Applicant*
First Last
Age of Scholarship Applicant*
Name of Second Scholarship Applicant
First Last
Age of Second Scholarship Applicant
Name of Third Scholarship Applicant
First Last
Age of Third Scholarship Applicant
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Name of Parent or Guardian
First Last
Phone*
Email*
Household Monthly Gross Income*
Number of people living in the household UNDER 18*
Number of people living in the household OVER 18*
Proof of Income
Please include as many of the following that is applicable, check any that apply. Upload below.
- Proof of income
- Proof of in-city residency
- Monetary child support/alimony (if applicable)
- Employer
- Other local/state/federal assistance (i.e. child care assistance,food stamps, ect)
- Rent/Mortgage payment
Drop files here or

Max. file size: 256 MB.
Please give a brief statement of reasons for applying for assistance:
Electronic Signature - Scholarship Applicant or Guardian*
I/We, the undersigned, understand that the information given will be kept confidential. The information provided is true and complete to the best of my knowledge and belief. I consent to the disclosure of such information for purposes of income and verification related to my/our application for financial assistance. I understand that any willful misstatement of material fact will be grounds for disqualification. I agree to pay any outstanding balance I have on my household account after all scholarship money has been applied.
First Last

SCHOLARSHIP APPLICATION

FRIENDS OF PARKS AND REC SCHOLARSHIP APPLICATION

Friends of Parks and Rec Scholarship Application

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