LGYM Scholarship Application Form
Please fill this form out for your child. This application will be viewed carefully. A decision will be made on or after 2/1/2025.
Child's Name
First Name
Last Name
Parent's Name
First Name
Last Name
Parent Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Program Locations: Please check with location you are applying. You can only request a scholarship for one location.
Dover, NH
Londonderry, NH
Manchester, NH
Nashua, NH
New London, NH
Pelham, NH
Portsmouth, NH
Salem, NH
Windham, NH
South Burlington, VT
Winooski, VT
West Roxbury, MA
Wakefield, MA
Reading, MA
Hopkinton, MA
How would a scholarship from our program help your child and family?
Is this your first time applying for scholarship for LetGoYourMind?
You are signing that your answers to this application are accurate and true.
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