RecPlex School Fieldtrip Scholarship Application Form

RecPlex School Fieldtrip Scholarship Application Form

At the RecPlex we believe everyone should have access to quality recreation, regardless of finances.
Note:

This application MUST be completed and submitted by a school district representative. Applicants should complete all required fields within the online application and submit the form for consideration. Once an application is received, RecPlex staff will review the information and follow up on the specific documentation required to complete the application.

Processing applications can take two to three weeks. RecPlex will continue to award scholarships as funds allow. Please complete each section entirely to avoid delays in processing.

Eligibility Requirements

To qualify for a scholarship, applicant must provide written documentation supporting the hardship. Scholarship covers school field trips. Duplicate submissions for the same program, in the same calendar year, are ineligible for approval. Submission for a different program, in the same calendar year, is eligible for approval.

RecPlex will continue to award scholarships as funds allow.

This Scholarship Program is NOT available for RecPlex Memberships at this time.
Employee Representative Contact Information
Name*

First NameLast Name
School Name*

First Name
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School District Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Employee Representative Email*
example@example.com
RecPlex will need verification of the following. A staff member will follow-up for documentation after application submission.
Please describe basis for need for assistance. If based on financial status of students served, please include percentage of students qualifying for free and reduced lunch.*
Please provide detail on number of students, ages, abilities, area of interest for field trip, and any other information that may assist us in reviewing your application.*
Applicant's Signature (18 years or older)

I hereby verify that the information stated on this application is true and correct.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

RecPlex School Fieldtrip Scholarship Application Form

Employee Representative Contact Information

RecPlex will need verification of the following. A staff member will follow-up for documentation after application submission.

Applicant's Signature (18 years or older)