Scholarship Application Form
Local Guardian Name
First Name
Last Name
Student's Name
First Name
Last Name
Local Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Local Guardian Email
example@example.com
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Scholarship Need
Why are you seeking a scholarship for your child’s tuition at RVLA?
What is the maximum amount you can contribute to your child’s tuition this year?
Have you applied for other scholarships or financial aid? (OpenEd, Utah Fits All)
If yes, please list any other financial assistance programs you are applying for or have received
What is your total annual income?
How many people in your household?
Are there any special considerations we should be aware of?
Additional Information
What other ways are you able to contribute to RVLA?
(For example, volunteering, fundraising, or other services you can provide to the school.)
Certification & Consent
By submitting this application, I certify that the information provided is true and accurate to the best of my knowledge. I understand that my application may be reviewed by RVLA’s scholarship committee, and that all scholarship awards are based on financial need and availability of funds.
Signature
Date
Submit Application
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