Scholarship Application Please fill out the information below. Thank you. Name of Student First Last Phone NumberName of Parent/Guardian (if applicable)AddressCountyAre you a student? Yes No Where?Program/Lesson Dates You are RequestingEmployerEmployer’s AddressEstimate of Need: Lesson prices subject to change. Please phone adaptive sports for current pricing. Current lesson prices $225.00 per day child, $275.00 per day adult.Total fee(s) for the program dates requested.Maximum Amount You Can Provide Toward TuitionMinimum Amount You Need in Financial AidPlease answer the following questions:Have you received a scholarship in the past?If so, how many times?Do you currently receive government assistance? Yes No If so, please describe.Are you a member of a subsidized living program? Yes No Which program?What is you or your family’s annual income?Are you supporting other persons besides yourself? Yes No Who are you supporting (family/spouse, number of children)?Briefly describe why you are seeking a scholarship with SAAS.Signature Δ
