Scholarship Application

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ADULT SCHOLARSHIPS

Scholarship application

LOCR is committed to making rowing available for all adults regardless of income. Available funds vary each year and are limited to a maximum 50% of season and regatta fees. Scholarships will be awarded on a first come-first serve basis, and are valid for one season. Scholarship funds are awarded based on need and the participant’s commitment to meet attendance and volunteer requirements. If awarded a scholarship, the following expectations must be met:

Participants commit to a minimum of 75% practice attendance, and
Participants commit to 5-10 hours of volunteer service during the current season

The information provided in this application will be treated confidentially and only used to determine eligibility. Applications are reviewed by an independent third party, not by LOCR staff. Please complete and submit this application prior to the first week of the current season.

APPLICANT INFORMATION

* Indicates required field

Name *

First

Last

Primary Phone *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

HOUSEHOLD MEMBERS & MONTHLY INCOME

Number in household:

Adults *

Children *

Total Gross Income:

Monthly *

Annual *

Employer *

Please check if you are currently eligible for: *

Free / Reduced Lunch Program Oregon Health Plan Oregon Trail Food Stamps Social Security Benefits Unemployment Other (please explain below if there are other factors that limit your ability to pay for rowing)

Comment *

PROGRAM INFORMATION

Which level of scholarship aid are you applying for? *

25% of season fees 50% of season fees Other - please specify

Comment *

SCHOLARSHIP AWARD EXPECTATIONS
Scholarship funds are awarded based on need and the participant’s commitment to meet attendance and volunteer expectations. If awarded a scholarship, participants must commit to a minimum of 75% practice attendance, and at least 5 hours of volunteer service (combined summer/fall or winter/spring).

Do you commit to 75% or better practice attendance? *

Yes

Do you commit to a minimum of 5-10 hours volunteer service? *

5 volunteer hours for 25% award level 10 volunteer hours for 50% award level

SIGNATURE
I certify that the above information is true and correct. I will notify LOCR of any changes in scholarship program eligibility. I understand that the information in this application may be verified and that a deliberate misrepresentation of the information will result in forfeiture of assistance and may prohibit future eligibility for the Scholarship Program.

Electronic Signature of Applicant *

Date *

Submit

Boathouse:
350 Oswego Pointe Drive
Lake Oswego, OR 97034

Phone: 503.765.6102
Email: info@lorowing.com

Mailing address:
P.O.Box 369
Lake Oswego, OR 97034

(please do not send mail to the Boathouse)