GOTR Scholarship Request | Thrive | Mentoring, Education, Support

Parent's Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Child's Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Age*
Please enter a number from 1 to 19.
Child's School*
Cost request
Total program cost : $100.00
Amount of Family Contribution:*
Amount of Requested Contribution from Thrive:*
Scholarship Agreement
Terms of Service*
By submitting this scholarship request form I acknowledge that all of the information I have provided is true to the best of my knowledge. I also acknowledge that Thrive is unable to meet all scholarship requests, and that my scholarship will be approved on a case-by-case basis. Completion of this form does not guarantee a place in the program.
- I agree to the Terms of Service
Should your family be awarded the requested activity scholarship, you and your children are expected to make every effort to attend the activity for its full duration. Failure to follow through will result in a lower (or no) priority rating for future scholarship awards through this program.