2017-2018Club Scholarship Application Process

2017-2018 Club Scholarship Application Process The S.P.A.R.K.S. Foundation offers scholarships to deserving children demonstrating financial need for After School Science Clubs. This aligns with the foundation’s mission to provide quality hands-on science to all children regardless of socio-economic background. Eligibility for a scholarship is based on the child’s sincere interest in participating in an after school hands-on science program and on the parent(s)’ household income being at or below the levels show below. Decisions by the board of directors will depend on available funds at the time.

If you are seeking a scholarship for an after-school club please:

1. Provide a written letter by the parent or guardian explaining why you are seeking a partial or full scholarship. 2. Provide a written letter by the child (or a picture if the child is too young) explaining why he/she would like to attend a Science Explorers after-school science club. 3. Fill out the application form, making sure to indicate that your income does not exceed the household gross wage levels indicated below. 4. Email all of the above, plus the household income information below, to [email protected] or Mail all of the above to: The S.P.A.R.K.S. Foundation, 110 W. Wyomissing Ave. Mohnton, PA 19540

Scholarship applications will be reviewed and awarded by the Board of Directors. When funding becomes available, applicants will be notified by email. Thank you! ______Applicant must circle the entire line that applies to his/her Household Size, understanding they must be at, or below, the income level indicated to be eligible for full scholarship.

Total Household Income (based on 150% of Poverty) Household Size Circle One Annual Monthly Weekly 1 $ 18,090 $ 1,508 $ 348 2 $ 24,360 $ 2,030 $ 468 3 $ 30,630 $ 2,553 $ 589 4 $ 36,900 $ 3,075 $ 710 5 $ 43,170 $ 3,598 $ 830 6 $ 49,440 $ 4,120 $ 951 7 $ 55,710 $ 4,643 $ 1,071 8 $ 61,980 $ 5,165 $ 1,192 For each additional family member add: $ 7,845 $ 654 $ 151 (over) For Internal Use Only:

Invoice #______

Paid Date: ______

Initials: ______2017-2018 After-School Scholarship Application

Name of child: ______Age: ______

Male or Female: ______Date of Birth: ______

Parent(s)/Guardian’s Name: ______(Please print name and relationship to camper)

Address: ______(Street, City, State, Zip) Home Phone: ______Work: ______Cell Phone: ______

Email address:______

Occupation of Father: ______

Employer’s Address: ______(Street, City, State, Zip) Occupation of Mother: ______

Employer’s Address: ______(Street, City, State, Zip)

Household Annual Gross Income (amount before taxes): $______

Requesting: (circle one) Full Scholarship Partial Scholarship If partial scholarship, amount requesting: $______

Science Explorers After-School Club Details:

First Choice: ______Name of club/topic Date of club Location

Second Choice: ______Name of club/topic Date of club Location

Third Choice: ______Name of club/topic Date of club Location Please note: If your child does receive a scholarship from The SPARKS Foundation, consider sending a thank you note describing your experience that we can share with the board of directors.

Approved by: ______Date: ______