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Program Fee & College Showcase Scholarship Application
NOTE: Please complete the entire form. All items are required.
Applicant Information
I am applying for
Dream Big! Program Scholarship
Other, Specific Scholarship
Name of Specific Scholarship (If applicable)
Individual Girl Applying for Scholarship:
Name
Age
Address
City
State
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Nationality
Asian
African American
Latino(a)
White/Caucasian
Other Population
Is Scholarship Applicant
low-income
homeless
Has applicant ever participated on a sports team or in a physical activity program before?
Yes
No
If yes, please explain
Parent(s) or Guardian(s) Name
Parent(s) or Guardian(s) Phone Number
Sport/Physical Activity
- None -
Baseball
Basketball
Boxing
Cheerleading
Cycling
Dance
Double Dutch
Fitness/ Exercise
Field Hockey
Football
Golf
Gymnastics
Hiking/Climbing
Ice Hockey
Karate/Martial Arts
Lacrosse
Recreation for young girls
Rowing
Running
Skating
Skiing
Soccer
Softball
Surfing
Swimming
Tennis/Racquet Sports
Track & Field
Volleyball
Other Activity: ______________
Is girl participating in this activity for the first time
Yes
No
Amount of Program/Scholarship Requesting
Information for program leader completing form
First Name
Last Name
Title
Street Address
City
State
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Primary Phone
Email
Website
Has this girl participated in this program before?
Yes
No
if yes, for how long
Season/Program Start Date
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2021
2022
2023
2024
2025
Season/Program End Date
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2021
2022
2023
2024
2025
Number of girls in program
Number of times per week program trains
Number of times per month program competes (If applicable)
Please list and describe in detail the sports or physical activity program for which applicant is applying for a scholarship
Are applicant's parents or guardians aware and have they approved of the participation of their daughter in the program this scholarship will be used for?
Yes
No
Leave this field blank
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