Kennedy Center Scholarship Request for Financial Aid: Kennedy Center Trip Name * Person filling out this form. Email * Person filling out this form. Student Information Student Name * Are you a current YAO student or have been accepted into YAO for the 24-25 Season? * Yes No Years in GCYO * 1 2 3 4 5 6 7 Student Lives With * Both Parents/Guardians One Parent/Guardian OtherOther School currently attending * Current grade in school * Parent Information Parent/Guardian #1 Name * Parent/Guardian #1 Email * Parent/Guardian #1 Phone * Parent/Guardian #1 Employer * Parent/Guardian #1 Job Position * Parent/Guardian #2 Name Parent/Guardian #2 Email Parent/Guardian #2 Phone number Parent/Guardian #2 Employer Parent/Guardian #2 Job Position Financial Information Own or Rent Home * Own Rent Years living in current home * Total number of children in the home * Number of children on free/reduced lunch * Number of children in GCYO * Number of children in college * Annual Household Income * Total yearly income for the family How much scholarship are you requesting? * Total trip cost is $1600 divided up into three payments of $466.66. Scholarship can’t be applied to the non-refundable deposit of $200 Please share any extenuating circumstances you feel will assist the financial aid committee in evaluating your student’s needs. Signatures: Entering your name on this application serves as your electronic signature. You affirm that the information provided is true and complete to the best of your knowledge. Parent/guardian #1 Signature * Parent/guardian #2 Signature GCYO does not discriminate on the basis of race, color, ethnicity, disability, religion, sex, creed, national origin, veteran’s status, or immigration status. The information shared in this application will be kept private and seen only by the financial aid committee. Please note that financial aid awards will be made contingent on the availability of funds. Submit If you are human, leave this field blank.