CRT SCHOLARSHIP APPLICATION

CRT SCHOLARSHIP APPLICATION
PARENT INFORMATION
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Information
Student Name

First NameLast Name
Student Age
Birth Date
Grade at start of session
Session Information
I am applying for
Which Camp or Session are you applying for?
have you previously received a scholarship from CRT Kids? If so when?
Financial Information
This information will not be shared outside of the scholarsip office or with any outside party or organization. NOTE: you will be asked to submit a copy of your most recent tax return, affirming the information below, should you be awarded a scholarship.
Monthly earned household income (after taxes)
Additional monthly income (Social Security, Welfare, AFDC, Child Support. Alimony, ect.)
Total monthly income (Add pervious two lines)
Number of adults in household
Number of children in household.
Are there any other financial circumstances you would like considered? If so please explain.
Please upload a copy of any documents you believe pertain to your qualifying for a Scholarship.

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Thank you, Pleae allow 2-4 weeks for processing.
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PARENT INFORMATION