Orlando Kodokan Adaptative Judo Scholarship for Membership Application Form

Adaptive judo membership Scholarship Application Form

Application Deadline - Ongoing
This scholarship duration and number of receipants is dependant on donors and sponsors. Applying doesn't guarentee enrollment. Interested applicants should contact coordinator for Free 1 Month Trial membership before applying. Current scholarship cover a Judo Gi Uniform and One Month Membership or more monthly memberships dependant on number of sponsors/donors avilable. See additional application questions if applying for multiple months and or USA Judo membership.

Referance Websites: https://www.adaptivejudo.org/about

Scholarship Sponsors: https://www.zeffy.com/fundraising/orlando-adaptative-judo-scholarship-sponsorship-membership

Social Media: https://www.facebook.com/OrlandoKodokanJudoAdaptive
If selected, you will may be asked for documentation to support the data you provide. Please note parents should also purchase GI if participating for 1:1 child support. The number and duration of scholarship is dependant on recieving grants through https://www.zeffy.com/fundraising/orlando-adaptative-judo-scholarship-sponsorship-membership
I. Personal Data

Tell us about yourself
Guardian Full Name*

First NameLast Name
Student's Full Name*

First NameLast Name
Student's Birthdate*

MonthDayYear
Mobile No*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Optional Informations

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your eligibility. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain criteria (such as diagnosis).
Gender

MaleFemale
Are you a US citizen?

YesNo
What school does your child attend?

PublicPrivateHomeOther
Please check if you have a disability or diagnosis?

AutismADHDYes not listedYes do not want to discloseNone of the Above
Have you participated in other Sports previously?

Yes I have done other Martial ArtsYes I have done other SportsNo
Is your Parent/Guardian available to work with you during sessions on the Judo Mat?

Yes and I would like 1:1 supportMaybe if it is determined they benefit with 1:1 supportNo I do not need any supportNo Parent/Guardian is not available
Do you have a Judo GI Uniform?

Yes and or I plan to purchase one for StudentYes if Parent is participating both student and guardian will have oneNo child has sensory issues and prefers to not wear a GINo student would like a sponsor to purchase a GINo Both Student and Parent are seeking Sponsorship for GI
How many months of membership sponsorship are you seeking financial aid?

1 Month. I would just like to start out with a Free Trial2 Months I should know if this program works for me and appreciates a sponsor6 MonthsAnnualI can only continue participate ongoing if I have continuous Sponsorship for financial need reasons
How many Saturdays can you commit per month?

123 or moreI plan to attend weekly reoccurring classes but may miss on occasionDepends on child mood we will do our best to attend
Do you plan to continue during Summer Lessons?

No Summer Break and we have other plansYes will plan to attend weeklyYes but may have some classes we miss on occasion
Do you have additional siblings or family members that would participate? If so how many? Please include guardian/parent in the total count if planning to be 1:1 with child during sessions.

123 or more
If selected, may we Share Photos and First name with donors, local news, and promote on our social media platforms?

YesNoI prefer remain anonymous
Note Membership with USA Judo 1st year starts at $60 for under 17 years of age. Note this is required for insurance? Will you sign up for membership if awarded this scholarship?

YesNo, I just want to do trial first and then decidedYes Only If Scholarship is available to cover membership
II. Essay
Your essay should be 100-500 words. You should address in your essay: How do you think Judo will benefit your child and or family? What do you hope to gain from joining this Judo program. Essay can be completed by student or parent.
Essay

0/500
III. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
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Adaptive judo membership Scholarship Application Form

I. Personal Data

II. Essay

III. Applicant's E-Signature