Scholarship Application Form

Scholarship Application Form

Application Deadline - August 23rd 2024
Approval Requirements

All applications will be reviewed by the department and applicants will receive a notification of eligilbility by September 1st after receving a completed application. Applications must be completed in full. Scholarship awards are based on availability of funding each year. This program is designed to give applicants user credit of $100 per child. This application is required to be filled out once a year. This form does exclude pool passes and other Parks and Recreation benefits (facility rentals, etc). If you have any questions please contact Parks and Rec Director Jacob Oswald 319-465-6640.
If selected you will receive an email with detailed instructions on how to use to credit when you register.
Personal Data

Tell us about yourself
Parent's Full Name*

First NameLast Name
Email *
Where the confirmation will be send to
Home Address*

Street Address

School District

CityState / Province

Postal / Zip Code
What activities would your child/ren be interested in? (This IS NOT the actual registration form)

Sports Clinics (vary in price depending on sport)Tball $30Baseball $40Softball $40Soccer $30Flag Football $40Volleyball $30Basketball $40Kickball $15Growing Up Wild $25Swimming Lessons $40Swim Team $50Private Swimming Lessons $125
These are costs are subject to change.
Child/ren Information

Please include all children who will be utilizing this scholarship
How many children do you have?

1234 or more

Please list all children who will be utilizing the scholarship.

	First Name	Last Name	Birthday	Age	Activities specific child would be interested
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Child 7

How would this scholarship benefit your family?
Please provide a short paragraph on how this scholarship would help your family.
Applicant's E-Signature

Please electronically sign, this will attest all the information above is true and accurate to the best of your knowledge
Signature

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Scholarship Application Form

Personal Data

Child/ren Information

Applicant's E-Signature