Lulu K Reeves Scholarship
Full and partial scholarships towards Neighborhood North Annual Memberships have been made possible by a generous donation from the Outlook Club of Beaver County in honor of Lulu K Reeves. To apply for a full or partial scholarship, please complete the short application form below.
Name
*
First Name
Last Name
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.
Format: (000) 000-0000.
Number of children
*
Ages of children (select all that apply)
*
0-2 years
3-5 years
6-8 years
8+ years
Select Annual Membership Level
*
Family Plan (up to 3 people)
Group Plan (up to 5 people)
Neighborhood Plan (6+ people )
Do you receive any of the following (check all that apply)
*
EBT Snap benefits
WIC
Does not apply
If you do not currently receive EBT Snap or WIC benefits, please share a short description of your financial need below.
Your digital Signature below verifies that all information provided is accurate and true.
*
Date
-
Month
-
Day
Year
Date
Please verify that you are human
*
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