HELP Community Scholarship Application

HELP Program Community Scholarship Application

To qualify for a Community HELP Scholarship, students must be in “good standing” with the HELP Program (meaning any prior bills have been paid). Students must also be 1) a current student receiving Community HELP interventions or 2) schedule an intake with The HELP Program and pay the $75 intake fee. Once submitted, HELP Program Business Manager, Brett Jones, will reach out to you in regard to your application status.

Who is requesting funding?(Required)

First Last

Student Name(Required)

First Last

Parent/Guardian Name 1(Required)

First Last

Parent/Guardian Name 2(Required)

First Last

Permanent Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Phone(Required)

Primary Email(Required)

For how many hours per week of tutoring do you wish to schedule? (2 hr. minimum)

Please indicate the number of people living in your home.

Please indicate your family annual income:

Residence

I own my own home.

I rent my home

Please indicate why you are requesting Scholarship Funding from the HELP Program.

HELP Program Community Scholarship Application

Who is requesting funding?(Required)

First Last

Student Name(Required)

First Last

Parent/Guardian Name 1(Required)

First Last

Parent/Guardian Name 2(Required)

First Last

Permanent Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Phone(Required)

Primary Email(Required)

For how many hours per week of tutoring do you wish to schedule? (2 hr. minimum)

Please indicate the number of people living in your home.

Please indicate your family annual income:

Residence

I own my own home.

I rent my home

Please indicate why you are requesting Scholarship Funding from the HELP Program.

HELP Program Community Scholarship Application

HELP Program Community Scholarship Application

HELP Contact