Please describe the activities and/or programs you or your child will not be able to participate in unless you receive a grant. Also please describe the circumstances surrounding your financial need (i.e., loss of wages, underemployed, expenses exceed income, medical expenses, emergency situations, etc.). If you need more room, please use reverse side of paper.
Along with this application, please provide a copy of any documents and/or information that you believe would assist the committee to determine financial hardship.
I hereby certify that all the above and attached information is complete and correct. I understand that Achieving Dreams may verify this application information at any time, request further information if what I provided is incomplete, and request the grant monies be repaid if I materially misstated or falsified information in my application.