2025 Participant Scholarship Application

BHSFL CONFIDENTIAL SCHOLARSHIP/FINANCIAL WORKSHEET

ONLY FILL OUT IF REQUESTING FINANCIAL ASSISTANCE Deadline for Financial Worksheet: December 15, 2024
PARTICIPANT NAME*
First, Middle Initial, Last
PHONE*
Phone number area code first
EMAIL*
example@example.com
Please complete the financial information requested below. Partial OR Full Scholarships may be requested. All information provided is strictly confidential and will be used only for the purpose of determining the need for financial assistance for attendance and participation of Ski for Light Events.
Monthly Household Income: Amount $*
(Including all sources of income, including wages, pensions, child support, ADC, SSI/Disability, etc.)
Monthly Household Expenses: Amount $*
(Include all expenses including housing and related expense, transportation, food, clothing, education, insurance, medical expenses, loan/credit cards, etc.)
For Partial Scholarship: Amount Requested
*You are financially able to pay a portion of the Event Fee for attendance and participation at Ski For Light Events?
Are you financially able to cover the cost of the meals not provided by Ski For Light?*

YesNo, I need assistance with meals
(For a Partial Scholarship, includes remaining cost of Event Fee, and Banquet Ticket]/Meal Packet Assistance, a minimum of 60 raffles tickets must be sold and money turned in at registration. Raffle tickets will be sent upon acceptance of the
application/scholarship.)
For Full Scholarship:
Are there any special circumstances that we should be aware of that will assist us in determining the extent of your need for financial assistance? If so, please explain fully:
Date*

MonthDayYear
Electronic Signature*
First, Middle Initial, Last
After I submit my scholarship form, I understand I will need to click the link on the Thank You page to complete the Event Application form

Yes
For Internal Use Only: Approved for financial assistance in the amount of $______________
Should be Empty:

BHSFL CONFIDENTIAL SCHOLARSHIP/FINANCIAL WORKSHEET