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Scholarship Application


Name*

Email Address*

Address*

Phone number*

What service are you seeking a scholarship for *

What is your monthly income*

How many people does your income support*

Do you receive any of these services*

• Please elaborate on your financial restraints below, or any other situation that is contributing to difficulty in finding support right now, all responses are confidential *

How much can you contribute to the service you are seeking *

• Please describe in 300 words or more why you feel you qualify for the Lotus Family Support Center Scholarship *

Whole Child Whole Family

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