Please complete the form below to be considered for a scholarship. Student Name First Last Student Email PhoneGradeSchool NameSchool AddressScholarship Amount RequestedWe try to ensure every eligible student is able to attend the program. Please consider what you are able to afford and subtract that amount from the tuition cost. For example, if you can afford $100.00, subtract that from the tuition cost of $450.00 and request the remainder which is $350.00.Please share more information on why you are requesting the amount listed in the previous question. If you/your family are enrolled in other financial support programs, you may list them here (optional).Summarize what you expect to gain from taking part in the Curious Science Writers program.Summarize how this year's Curious Science Writers program will benefit from your participation.Are you willing to provide additional support for the cSw program? (See below for examples.)This support may involve assisting the student staff team in the editorial process, distributing stories on social media, sharing ideas on how to improve the program, suggesting fundraising ideas or other items related to ensuring a quality program for high school students. Yes No Maybe Parent/Guardian Signature: I am aware of and support this request for scholarship assistance.Parent/Guardian Name First Last Date MM slash DD slash YYYY Parent/Guardian Email Parent/Guardian PhoneSupporting documentation (optional)Please upload documentation that you would like to include with this request. Drop files here or Select files Max. file size: 64 MB.
