church logo  Children & Youth Activity
 SCHOLARSHIP APPLICATION
Instructions:
Following submission of the application, we will contact you by phone or email. This is not a registration form. Please wait to register your child(ren) for the event/activity until after you have heard from us. If you have questions, email David White at dwhite@ualc.org.

Household Information:

Please provide the following information for your household.
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Family Information:

Please provide the following information for all children under 18.
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Another Child? *

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Another Child? *

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Another Child? *

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Scholarship Recipient(s) Information:

Please list the child(ren) for whom you are requesting scholarship(s).
Another Recipient? *

Another Recipient? *

The maximum scholarship awarded is 50% Tuition Total for events/activities. However, scholarship awards are based on many factors including the number of requests, each family situation, and UALC budget constraints. We may not be able to accommodate all scholarship requests.

Additional Information:

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Have you received UALC scholarships or material assistance in the past? *
We may be able to set up a payment plan. Please indicate the amount you are able to pay: *