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Fall 2024 Scholarship Application

Scholarship Application

Responses are confidential and we will never share them. Responses will only be used in the aggregate, which we may use in funding requests and marketing, allowing us to serve more potential students and families. If you have any questions about how data is used, please contact us at education@casamanana.org.

Contact Information

Student’s Name
Student's Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Parent Information (If student is under 18).
Parent Information (If student is under 18).
First
Last
Parent Address (If student is under 18).
Parent Address (If student is under 18).
City
State/Province
Zip/Postal
Country

Scholarship Information

Does your student attend a school that offers free/reduced lunch or other assistance programs?
Does your student qualify for free/reduced lunches or other assistance programs?

About the Student

Maximum file size: 134.22MB

Maximum file size: 134.22MB

I attest that all responses are truthful and complete to the best of my knowledge.

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