Financial Aid Request

The amount of financial aid available is limited. Please fill out this form entirely and ONLY REQUEST THE AMOUNT YOU CANNOT PAY, along with copy of last year W2, 1040 income tax form, and a current copy of county-issued medical health card. Submitting this form & documents does not guarantee you will receive financial aid. Your application, along with required documentation, will be reviewed by the Board of Directors for final decision. Note, 15 volunteer hours MUST be completed prior to receiving financial aid. A financial aid hours completed sign-off sheet will need to be completed and turned in with this form before application is accepted.

Recipient Information

Siblings in Household

Sponsorship Requested Amount: