Readers Workshop scholarship form

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Readers Workshop scholarship form

Scholarship Form

You MUST fill out the registration form and send this in with your Scholarship Application. This can be done at the same time. In order for you to be considered for a need-based scholarship, please complete and return the following form by May 15, 2020. Decisions on scholarships will be made by June 1, 2020. Scholarship applications submitted after May 15 will receive consideration if funds remain available.

1. First Name: Required

2. Last Name: Required

3. Address: Required

4. Telephone Required

5. Date of Birth Required

6. Parent's Names Required

7. Total number of exemptions on federal income tax form Required

8. Adjusted gross income Required

9. US income tax paid last year Required

10. What amount can you contribute to the tuition for the Reader's Workshop 2020? Required

11. Email