Taylor Sojourn 2022 Fellowship & Wishlist Financial Assistance Application
Student/Participant Name
*
First Name
Last Name
Student/Participant School
*
2022 Journey
*
Please Select
February 18th-25th, 2022
March 25th - April 1st, 2022
Primary Contact - Parent/Guardian Name
*
First Name
Last Name
Primary Contact - Parent/Guardian Email
*
example@example.com
Primary Contact - Parent/Guardian Primary Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Contact - Parent/Guardian Secondary Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Applying for: (Check applicable level of assistance)
*
Fellowship (If you qualify for the above Income-level requirements for household)
Wishlist (If you do not qualify for Income-level requirements for household)
Number of people in family:
*
Income earned last year:
*
Please Upload a Copy of Income Documentation. NOTE: if your circumstances have changed since your last tax return please also attach a letter explaining how things have changed. If you are undocumented, attach any documentation that would indicate that you qualify for financial aid. No one checks status papers to apply for financial aid.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Upload a Copy of your Fundraising Letters Chart (the list of at least 20 names and addresses/emails you sent the letter to)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Upload a Copy of your Fundraising Letter
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
We hereby certify that all the information above is true and correct to the best of our knowledge. Parent/Guardian Signature:
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: