Venice Youth Boating Association, Inc.

2007 Scholarship Application

                                                                                                                                

 

 

 

I am applying for the VYBA Scholarship

 

Sailor’s First Name: ______________________ Last Name: _____________________________________

 

# Children in family (including applicant):________ # Children in VYBA summer program:________

 

# Children in college:________

 

Total combined family income (before taxes):

 

_____Under $18,000       _____$18,000 - $25,000   _____$26,000 - $32,000          _____Over $32,000

 

Please use the space below to outline any special circumstances (single parent, medical bills, etc) that you would like our Scholarship Committee to consider as part of this application.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

I understand scholarships are granted upon basis of need and may cover a portion of the costs (10% - 100%).

 

I certify that the above information is accurate.

 

 

Parent’s Signature: ___________________________________ Date: ____________________________

 

Print Name:_______________________________________  Phone:____________________________

 

 

 

 

 

 

VENICE YOUTH BOATING ASSOCIATION, INC.

1330 Tarpon Center Dr.

Venice, FL 34285