Little Sprouts Scholarship Application
Scholarships will be awarded on a case by case basis. Completion of this application form does not guarantee a scholarship. This form must be completed by Tuesday, April 1st, 2025.
Caregiver Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Child 1 Name
*
First Name
Last Name
Child 2 Name
First Name
Last Name
How many people live in your household?
*
My annual household income is
*
Below $30,000
$30,000 - $40,000
$40,000 - $50,000
$50,000 - $60,000
$60,000 - $70,000
Above $70,000
I can pay
*
50% of the monthly program fee
25% of the monthly program fee
0% of the monthly program fee
Additional Comments
Any additional information you'd like for us to know
By signing this application, I certify that the information is true, accurate, and complete to the best of my knowledge.
*
Thank you!
Scholarship recipients will be notified by Wednesday, April 30th, 2025.
Submit
Should be Empty: