BCA Scholarship Application Form

BCA Scholarship Application Form
Personal Information

Please fill out this section completely.
Date*

DayMonthYear
Parent/Legal Guardian*

First NameLast Name
Address Parent/Legal Guardian *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
Parent/Legal Guardian*

First NameLast Name
Address Parent/Legal Guardian *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
Have you applied for financial aid from us before?*

YesNo
General Financial Information

Fill out the corresponding sections that best describes your situation.
What is the approximate total of your monthly income??*
What is the approximate total amount requesting?*
What is the length of time the scholarship is needed?*
Entire school year, 6 months, 3 months etc.
Name of Child, grade level and age requesting scholarship
Name of Child, grade level and age requesting scholarship
Name of Child, grade level and age requesting scholarship
Name of Child, grade level and age requesting scholarship
Please describe below the reasons for the request of a scholarship:*
Besure to list any and all reasons why you are requesting a scholarship to assist the board in making their decision.
Conditions Upon Acceptance
Scholarship guidelines:

1. Full scholarships will NOT be awarded

2. Scholarships do not cover Registration Fees. Registration Fees must be paid in full by August 5th

3. All applications must be submitted electronically with a date and time

4. All applications will be reviewed by the Board within two weeks from the date your application is received.

5. The Board may ask for additional information and documents to assist them with their decision.

6. Once a decision has been made, an official of BCA will notify you of the results using the contact information listed above.
Signatures
I affirm that the information in this form is true and accurate according to my knowledge.
Guardian/Parent(s) Signature*

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Date

MonthDayYear
Date
Guardian/Parent(s) Signature*

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Date

MonthDayYear
Date
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BCA Scholarship Application Form

Personal Information

General Financial Information

Conditions Upon Acceptance

Signatures