Scholarship Application | Heparks v2 Staging

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Friends of HEParks Scholarship Application

The Friends of HEParks Foundation provides access to families to participate in programs. Approval is based on the family’s circumstances and needs. Application Timeline: Valid for Foundation Fiscal Year (July 1 through June 30).

Each approved family will be assigned a percentage of support based on need, and will be limited to a maximum of $1600 per family per year. Once awarded, you will be responsible for your portion of payment at the time of registration (if not fully covered by scholarship).

Family members may not enroll in overlapping programs while supported by scholarship – scholarships are limited to one program per family member at a time.

Scholarship funding can be awarded for any program, event, fitness membership, or aquatic center membership.

Today's Date(Required)

Application Information(Required)

New Applicant

Subsequent Application

Is this your first application or have you applied for a scholarship previously?

Family Last Name

Father's Name

Father's Phone

Mother's Name

Mother's Phone

Marital Status

Single

Married

Divorced

Separated

Widowed

1. Child's Name

First Last

Birthdate

2. Child's Name

First Last

Birthdate

3. Child's Name

First Last

Birthdate

4. Child's Name

First Last

Birthdate

5. Child's Name

First Last

Birthdate

6. Child's Name

First Last

Birthdate

Address

Street Address Address Line 2 City State ZIP Code

Is address new since last registration?

Yes

If yes, please provide past address

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