Friendship Life Skills & Job Training Summer Program Scholarship Form

At the Friendship Circle we believe that every child & adult with special needs deserves the chance at friendship & fun social interaction with peers their own age! Our promise to you is that we will do everything in our power to ensure that no child be turned away from creating lifelong friendships due to lack of funds but in return, we expect that anyone accepting a scholarship realize that they are committing to a year of program attendance with the exception of emergencies so as not to take away funding from another family in need. Program dates are listed on the website under Calendar. Get ready for an exciting year up ahead!

Name of Participant *

First

Last

Has your child ever attended The Friendship Circle? *

How did you hear about the Friendship Life Skills & Job Training Summer Program? *

Parent's Information

Father's Full Name *

First

Last

Phone *

Employer *

Job Title *

City of Residence *

Mother's Full Name *

First

Last

Phone *

Employer *

Job Title *

City of Residence *

Marital Status *

STATEMENT OF NEED

Describe any circumstances that support your request for financial aid. The more details you provide, the better we can understand your situation.

The cost for the program is $2,800 for the 7 week summer program, payments can be broken into weekly installments of $400 I would like to request financial Aid for the Friendship Life Skills & Job Training Summer Program in the sum of ?

What would you like your child to gain from The Life Skills & Job Training Summer Program?

Would you be willing to help out in exchange for some of your Friendship Circle fees?

If yes, do you have any particular skills that you would like to share? (ex. fundraising, networking, extracurriculars?)

SIGNATURE

Signature *

Email *

Today's Date *

Friendship Life Skills & Job Training Summer Program Scholarship Form

Parent's Information

STATEMENT OF NEED

SIGNATURE

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