Afro Scouts Youth Program Scholarship Application

Thank you for your interest in the Afro Scouts Youth Program by BASE Arizona. This scholarship application is designed to assist families who need financial support for their children to participate in our programs. Scholarships are available for full or partial assistance and are awarded based on financial need and other qualifying factors.

Please complete all sections of the application. Incomplete applications may not be considered.

Parent/Guardian Information

First name

Last name

Phone

Child Information

#1 Child's Full Name

Date of Birth

Grade Level

#2 Child's Full Name

Date of Birth

Grade Level

#3 Child's Full Name

Date of Birth

Grade Level

Total Number of Children in Household

Program / Event Details

Which program(s) / Event (s) are you applying for?

Are you requesting:

Full Scholarship

Partial Scholarship

If Partial Scholarship was selected (please indicate amount you can contribute):

Financial Information

Briefly describe your financial situation and why you are requesting a scholarship:

Additional Information

Are there any specific circumstances or challenges we should be aware of when considering your application?

How will participation in the Afro Scouts program benefit your child(ren) and your family?

Is your child currently registered as a member of the Afro Scouts Program? (In order to be considered for a scholarship, applicant must be a registered member).

Yes

If you are unsure or have not registered as a member, please complete the Afro Scout Membership Agreement: CLICK HERE

Consent and Signature

By signing below, I confirm that the information provided is accurate to the best of my knowledge. I understand that scholarship availability is limited, and applying does not guarantee approval.

Signature

Signature field is empty.

Date

Month

Day

Year

Thank you for your application! We look forward to your child(ren) participating in the Afro Scouts Youth Program.