Clone of Del Norte - Training/Lessons Contact

Contact Information
Primary Adult
Email
example@example.com
Date or Birth

MonthDayYear
Date
Phone Number
Format: (000) 000-0000.
Please select your scholarship type.
What organization are you with?
What can you afford to pay?
Are you currently a Del Norte Member?
Is there a secondary adult?
Secondary Adult
Date or Birth

MonthDayYear
Date
Number of dependents (children living with you that are 26 years old or less)
Child Dependent 1
Date or Birth

MonthDayYear
Date
Child Dependent 2
Date or Birth

MonthDayYear
Date
Child Dependent 3
Date or Birth

MonthDayYear
Date
Child Dependent 4
Date or Birth

MonthDayYear
Date
Please list the first and last names + date of birth for each child.
i.e. Sam Smith, 11/30/2017
Please explain your current financial situation and reason for requesting aid.

0/800

Financial Information

For financial scholarship list all income you receive including housing (room and board). Assistance will be granted primarily on the basis of financial needs. Applications will be asked to pay a portion of membership dues/program fees. If not amount is earned, enter 0.
W2 Wages
SSI/SSD
Other Income
Total Income
As part of the financial scholarship application process, adults in the household are asked to provide their two most recent pay stubs and the family’s most recent tax return. Documents can be submitted digitally or, if more comfortable, dropped off at the club.
File Upload

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What can you afford to pay?
Scholarship Type

Please note that approval of scholarship for a programs does not guarantee you a enrollment spot. Scholarships will be granted to the extent that they are available.

Acknowledgement of Application
I certify that the information provided in this application is accurate and complete to the best of my knowledge. I understand that Del Norte Club may request additional documentation to verify the information submitted.

I understand that scholarship eligibility may be reviewed periodically. If requested documentation is not provided or program payments are not kept current, scholarship assistance may be adjusted or discontinued.

Participants receiving scholarship assistance are expected to follow the rules and policies of Del Norte Club.

I understand that scholarship applications may take up to two weeks to review and process.
For applicants requesting a Financial Scholarship, the following documentation is required: a copy of the most recent federal tax return and the two most recent pay stubs. Financial Scholarship applications cannot be processed until these documents have been received.
Your signature indicates that you have read and understand the information stated.
Should be Empty:

Contact Information