Earthwise Education
Scholarships

Please fill out the scholarship application form below and submit. We will respond as soon as we are able.

Student's Name

First Name

Last Name

Student's Age

Parent Name

First Name

Last Name

Email Address

Primary Phone Number

(###)

###

####

Student Gender

Program/School Year You Are Applying For

Annual Family Income (Include any child support or other income for family)

Average Housing Cost Per Year (Rent/Mortgage)

How Many Members In Your Household?

What amount can your family afford to pay?

Please explain the reason you are requesting a scholarship in a paragraph or two

Skills/services you are willing to trade (ex. photography, fliering etc)

Earthwise EducationScholarships