Opportunity4Kids Scholarship Application

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Important Notice Before You Begin:

To complete this application, ensure you have the following documents saved the device you are using to complete the application:

Household Income Verification: Tax returns or three months of pay stubs from both parents/guardians. If one parent/guardian is not working, provide your most recent tax return. For parents/guardians in separate households, both must submit income documentation, including any child support or custody agreements.
K-12 Enrollment Verification: Your child's most recent report card or other official school document with the child's and school's names visible.
If Both Parents/Guardians Do Not Work: A list of all government assistance received (e.g., SNAP, TANF, SSI, etc) along with financial details showing your ability to cover transportation and incidental fees. Note: ALL assistance documents must show start and end/renewal dates.

Please gather all necessary documents before proceeding. If only one parent/guardian is completing the application, the other can submit their documents via email. Instructions will be provided in the relevant section of the application.

Following these steps will help ensure a smooth and complete application process. If you have any questions, please get in touch with us during business hours before submitting your application.

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Child's Name* This field is required.One application per child.

First Name

Last Name

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Child's Date of Birth* This field is required.

Date

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Is the child of Hispanic, Latino, or of Spanish origin?Please note: This information is not used in our decision-making process. Our funders request demographic data to help better understand and serve the communities we support.

Yes

No

Prefer not to answer

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Child's Race/EthnicityPlease note: This information is not used in our decision-making process. Our funders request demographic data to help better understand and serve the communities we support.

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Other

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Child's Grade in School* This field is required.If applying in summer, select the grade the child will be entering in the fall.

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What school does your child attend?* This field is required.

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K-12 Enrollment Verification* This field is required.Please submit the child’s most recent report card or other recent official school documentation, ensuring that the child's and school’s names are clearly visible.

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Max. file size: 10.6MB

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Tell Us Your Story* This field is required.Your story helps us understand the impact our support can have, so we encourage you to be open and heartfelt in your response.

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Opportunity4Kids may publish my story!* This field is required.By allowing O4K to publish your personal details, you will help inspire other children to realize the opportunities available to them through our sponsorship program. If you choose no, we will be sure to leave out any personal specifics when publicizing a scholarship granted.

YESNO

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Has the child received a Scholarship from Opportunity4Kids in the past?* This field is required.

YESNO

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What activity did Opportunity4Kids provide a Scholarship for in the past?* This field is required.

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Approximately when did Opportunity4Kids provide a Scholarship in the past?* This field is required.Ex. Spring 2022

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Previous Scholarship Photo/Video SubmissionYour child’s photos or videos help us showcase our mission’s success and inspire more support, allowing us to create more opportunities for children like yours. By sharing any photos or videos, you acknowledge that Opportunity4Kids may use them for marketing, publishing, or other mission-related purposes. Thank you for helping us highlight the impact of these opportunities!

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Max. file size: 1.9GB

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What is the child requesting?* This field is required.

Fees

Equipment

Uniform

Other

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What is the activity your child is requesting to participate in?* This field is required.Ex. Basketball, Soccer, Music Lessons, Dance, etc

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Name of Business/Organization Providing the Activity* This field is required.

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Activity Website* This field is required.Please provide us with the activity's website. If the activity does not have a website, please put 'N/A'

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Activity Contact (Name)* This field is required.Opportunity4Kids will contact the activity to confirm fees and coordinate payment. Who should we contact to discuss these details? If you are unsure, you MUST contact the activity and ask for the individual we should coordinate these details with. Failure to do so will result in an automatic denial.

First Name

Last Name

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Activity Contact (Phone Number)* This field is required.Opportunity4Kids will contact the activity to confirm fees and coordinate payment. Who should we contact to discuss these details? If you are unsure, you MUST contact the activity and ask for the individual we should coordinate these details with. Failure to do so will result in an automatic denial.

Please enter a valid phone number.

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Activity Contact (Email)* This field is required.Opportunity4Kids will contact the activity to confirm fees and coordinate payment. Who should we contact to discuss these details? If you are unsure, you MUST contact the activity and ask for the individual we should coordinate these details with. Failure to do so will result in an automatic denial.

example@example.com

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Amount Requested* This field is required.Please provide the total amount the child needs to participate in the activity for one month AND any uniform/equipment costs being requested. We will approve up to three months of fees for month-to-month activities. If the activity needs to be paid in full or is not a month-to-month activity, please provide the full amount due for the session/season or uniforms/equipment. Our average approved Scholarship is approximately $100/month for fees.

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Amount Requested* This field is required.Please indicate whether the fee amount entered on the last questions is month-to-month or the total owed. For all other information about equipment or uniforms add notes to the next questions labeled "Breakdown of Amount Requested".

Month-to-Month

Total Fees Owed

Uniform/Equipment Cost Only

Total Fees Owed + Uniforms/Equipment

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Breakdown of Amount Requested* This field is required.Activity fee information, equipment costs, or other information regarding fees we should know. If you are requesting uniforms or equipment, please provide information about those items, including any relevant links. For equipment purchases, provide Amazon links.

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Additional Activity Information* This field is required.Are there specific classes you are interested in enrolling your child in? Are they signing up for a specific league (Ex. U14 Soccer or Hippity Hop Class)? OR Any other information that will help us when contacting the activity?

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Is the child currently participating in this activity?* This field is required.

YESNO

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Date Needed By* This field is required.When do fees, equipment, and/or uniforms need to be purchased/paid? Must be more than 3 weeks from date of submission. Turnaround time for applications is approximately 3-4 weeks.

Date

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Activity Start Date* This field is required.

Date

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Activity End DateNot required if the activity is year-round.

Date

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Within the last 6 months, someone in my household lost their job/is no longer working.* This field is required.

YESNO

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Lost Job In Last 6 Months* This field is required.Provide us with details on the job loss. Who lost their job? Are you receiving unemployment? What date did you last work? Any other relevant information? We will likely request documentation showing lost wages.

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My household receives Temporary Assistance for Needy Families (TANF).* This field is required.

YESNO

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My household receives WIC, Cash Assistance or any other state government assistance.* This field is required.

YESNO

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List Government Assistance Received* This field is required.Including but not limited to TANF, SNAP, WIC, cash assistance, social security income, and rental assistance (Section 8).

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Poverty GuidelinesFind your household size and then find the corresponding number in the "150% Poverty Line" column. If your household income falls below this number answer "Yes" on the next question. If your household falls above answer "No" on the next question.

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My household income is less than 150% of the federal poverty level.* This field is required.Families with incomes above 150% of the federal poverty level do not qualify and will be automatically denied.

YESNO

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Approximate Annual Household Income* This field is required.Please provide total income for all individuals who work in the household. (Example: Mom makes $24,000 and dad makes $32,000 per year.... Household Income is $56,000)

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Household Size* This field is required.Only include individuals such as adult children, grandparents, or other relatives living in your household if they are claimed as dependents on your tax return.

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List Household Members* This field is required.Include the following information, including the child requesting funds: Name, Age, and Relationship to the Applicant. Ex: John Doe (36, Father), Jane Doe (36, Mother), Jimmy Doe (13, Brother), Janet (3, Sister)

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Household Income Verification

As part of our application process, we require financial information from both parents/guardians to make an informed decision.

For Parents/Guardians in the Same Household: If both parents/guardians live in the same household, we require either a tax return (IRS Form 1040) or three months of pay stubs from each parent/guardian. If one parent/guardian is not working, please submit your most recent tax return.
For Parents/Guardians in Separate Households: If the parents/guardians do not live together, both must submit their income documentation, preferably tax returns. Include any child support or custody agreements that outline financial responsibilities for the child. If only one parent/guardian is completing the application, the other can email their documents to Scholarship@Opportunity4Kids.org with the child’s name in the subject line.

***You may censor Social Security numbers from your tax returns.***

For Parents/Guardians Who Do Not Work: If both parents/guardians are unemployed AND have not filed taxes in the past year, we require a detailed list of all government assistance received, including but not limited to SNAP, TANF, SSI, or other relevant programs. Along with these documents, please provide financial details that demonstrate your ability to cover transportation to and from the activity and any incidental fees that may arise during participation. The more transparency and information you provide us, the higher your chances of approval.

***All government assistance documents must display start and end/renewal dates.***

If you have any questions, please save your application and call us during business hours to discuss your options. Failure to follow these instructions will result in an automatic denial. We have limited ability to add additional documents to your child's file once the application is submitted.

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Parent/Guardian 1 - Income Verification Upload* This field is required.Submit one of the following: Latest Tax Return Three Months of Pay Stubs Government Assistance Documents

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Max. file size: 10.6MB

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Parent/Guardian 2 - Income Verification UploadSubmit one of the following: Latest Tax Return Three Months of Pay Stubs Government Assistance Documents

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The child requesting a scholarship is Chronically ill? Chronically ill is defined as someone who is not terminally Ill, but has been certified within the previous 12 months by a licensed health care practitioner meeting the following requirements:* This field is required.1. Person is unable to perform (without substantial help) at least two activities of daily living for a period of 90 days or more because of a loss of functional capacity. 2. The person requires substantial supervision to protect himself or herself from threats to health and safety due to severe cognitive impairment.

YESNO

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The child requesting scholarship is Physically Disabled? This is defined as an individual with a physical impairment that substantially limits one or more major life activities.* This field is required. ( examples are seeing, hearing, breathing, communicating, working, walking, etc.)

YESNO

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Parent/Guardian Name* This field is required.

First Name

Last Name

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Parent/Guardian Email* This field is required.

example@example.com

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Parent/Guardian Phone Number* This field is required.

Please enter a valid phone number.

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Parent/Guardian Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Signature* This field is required.It is expressly understood that Opportunity4Kids is not liable for any accidents or injuries which may occur while the child is participating in the chosen activity. As a condition of accepting a Scholarship provided by Opportunity4Kids, the participant specifically waives, releases, and discharges any and all potential claims for injuries or damages and specifically releases and agrees to hold harmless Opportunity4Kids, its Board Members, trustees, officers, employees and volunteers from and against any and all liability arising out of or connected in any way with participation in the chosen event/activity. I certify that I am the parent or legal guardian of the child named above who is under the age of eighteen years old. By submitting this application, I acknowledge that I am applying for scholarship from Opportunity4Kids and that all information supplied on this application is true and correct. Please digitally sign your name below to agree.

Clear