Scholarship Application

Funds have been set aside to be used specifically for program scholarships. While the Highlands Center does not grant full scholarships, we do supply partial for those in financial need.

Scholarships are limited to two per child per year.

Name of Recipient*
First Last
Age of Recipient*
Name of Parent/Guardian*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Are you a member?*
- Yes
- No
What program is being applied for?*
Select one
Please note that only unfilled camps are on this list. If you'd like to complete a scholarship form for a full camp, please call our office to be added to the waitlist.
What amount are you able to pay?*
Please note we only award partial scholarships.
In the space below, please write 2-3 paragraphs about the following points:*

Please briefly describe your financial situation. What qualifies you to be a scholarship recipient?

How would you benefit from receiving a scholarship for this program?

Why is sending your child to this program important to you?
Would you like to add another child to this application?*
- Yes
- No
Name of Recipient*
First Last
Age of Recipient*
What program is being applied for?*
Select one
What amount are you able to pay?*
Please note we only award partial scholarships.
Would you like to add a third child to this application?*
- Yes
- No
Name of Recipient*
First Last
Age of Recipient*
What program is being applied for?*
Select one
What amount are you able to pay?*
Please note we only award partial scholarships.