Recreation Reimagined After School Program Scholarship Application 2021-2022

Recreation Reimagined offers a limited number of partial scholarships (50% fee reduction) for families who are experiencing financial hardship. All information will be kept strictly confidential.

Name/Nombre

First Name

Last Name

Email Address/direccion de correo electrónico

Phone/numero del telfono

(###)

###

####

Subject/sujeto

Address/direccion

Child's Name/el nombre del niño

First Name

Last Name

Child's Name/el nombre del niño

First Name

Last Name

Is mother employed?/ esta empleada la madre

Yes

Is father employed?/es padre empleado

Yes

Number of persons in household?/ numero de personas en casa

Family gross income?/ingresos familiares

Other info