Leonardo's Scholarship Application Form

Leonardo's Scholarship Application Form

For Memberships and Programs
Thank you for your interest in the Leonardo's Children's Museum Scholarship Program. At Leonardo's, we believe in providing accessibility to all children, removing barriers, and working on our mission to enrich and inspire children of all ages by creating fun learning opportunities.

Please complete the following information to be considered for a scholarship. The acceptance of all applications depends upon thorough review and the availability of funds. This year through the generous support of the Harris Foundation, we are able to offer more after-school and camp scholarships!

Please ensure that all information provided is accurate and complete. Incomplete applications may not be considered.

Once your application is received, it will undergo a thorough review process. Successful applicants will be notified via email or phone. If you have any questions or need assistance, please contact our Executive Director, Charlet Ringwald charlet@leonardos.org.

Thank you for your interest in Leonardo's Children's Museum. We look forward to the opportunity to support your child's educational journey.

After-School and Camp Scholarships are available through the generous support of the Harris Foundation, Inc.
Child's Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Current Grade or Recent Grade Completed
Current School/Institution
Child's Gender
Scholarships Applying for

Spring Discovery Camp (up to one week per child)Summer Discovery Camp (up to two weeks per child)Museum Membership (per family)After-School Program

Family Information
Parent/Guardian
Parent/Guardian Name*

First NameLast Name
Primary Phone*

Area CodePhone Number
Secondary Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Email*
Current Employer
Additional Parent/Guardian
Parent/Guardian Name

First NameLast Name
Primary Phone

Area CodePhone Number
Secondary Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Employer
Other children in the household
Configurable list
Others members in the household
Configurable list

Type of Scholarship

If they receive Sooner Care, CHIP, or another public benefit they may qualify.If they are in good standing or show improve with academic performance, recommendation from a teacher, counselor, or community leader or a short essay or creative submission explaining why the museum’s after-school program interests them and how it will benefit them.
Which type of scholarship are you applying for:

Household Income Based

If they receive Sooner Care, CHIP, or another public benefit they may qualify.
Monthly Family Income (Gross)*
$
Please State Amount You're Able to Pay*
$

Public Assistance Verification

	Income ($)
SNAP (Food Stamps - Supplemental Nutrition Assistance Program)
TANF (Temporary Assistance for Needy Families)
WIC (Women, Infants & Children Program)
Social Security
SoonerCare
Supplemental Security Income
Housing Assistance
Other

Please Explain the Reasons for Need*
limit to 500 words
Please explain why you are interested in participating in Leonardo's programs. Share how you believe Leonardo's can positively impact your learning experience.
limit to 500 words
If there is any additional information you would like to share or if you have specific needs that you believe should be considered, please include them here.
limit to 500 words
Please Copy of Card/Verification of any Public Assistance

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Please Provide Proof of Monthly/Yearly Income

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Last Two Paystubs or Most Recent IRS Tax Return Cancelof

Academic Based

If they are in good standing or show improve with academic performance, recommendation from a teacher, counselor, or community leader or a short essay or creative submission explaining why the museum’s after-school program interests them and how it will benefit them.
Please State Amount You're Able to Pay*
$
Please explain why you are interested in participating in Leonardo's programs. Share how you believe Leonardo's can positively impact your learning experience.*
limit to 500 words
Please explain your academic performance.
limit to 500 words
Please Upload Any Support Documents

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Cancelof
Please Upload Any Additional Docements

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Should be Empty:

Leonardo's Scholarship Application Form

Family Information

Type of Scholarship

Household Income Based

Academic Based