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 or put on a payment plan with our Business Manager. Students must also be 1) a current student receiving Community HELP tutoring or 2) schedule an intake with The HELP Program Community Coordinator and pay the $75 intake fee to our Business Manager. Upon submission, the HELP Program Team will review your application and email you regarding award decisions as soon as possible.

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

H.E.L.P. Contact and Updates

For more information: