scholarship application

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You may fill out the form below, or download and fill out the PDF form 
(Adobe Reader application needed)
.

 

Please see Application Instructions for eligibility requirements, submission locations, award percentages, and more.

If you currently participate in one of the following government assistance programs, please submit a copy of the most recent award letter:

  • TANF (Temporary Assistance for Needy Families

  • Oregon Health Plan

  • North Clackamas School District Federal Free Lunch Program

  • Food Stamps (SNAP)

You may qualify if your total household income falls at or below the 2021 Federal Poverty Guidelines. Please provide proof of income documentation (see below). If you have no income or other special circumstances, please describe your situation on a separate piece of paper.

Proof of income. Please submit applicable documentation:

  • Payroll Stub (last 3 months)

  • Unemployment Weekly Wage Benefit Letter

  • Child Support/Alimony Agreement

  • Social Security/Disability/Pensions Award Letter 

Please list all adults and dependent children age 18 and under and indicate if you are requesting a scholarship.

First Name | Last Name |  Date of Birth | Ethnicity*

*Information about your race and ethnicity is important and helps to make sure we are fully serving our community. Responding to this section is optional and does not affect your eligibility for a scholarship.

Happy Valley Parks & Recreation Foundation will pay a maximum of 75% of the tuition for a class or program. The applicant is responsible to pay 25%. The maximum scholarship per person is $200 per year with a maximum family award not to exceed $1000 per family per year.

I certify that the above information is true and correct and that all household income is reported. I will notify Happy Valley Parks & Recreation Foundation of any changes in income or family size. I represent that I am a resident of Happy Valley. I understand that providing false or incomplete information to the Foundation will be cause to immediately lose financial assistance. Scholarships are awarded based on available funds and at the sole discretion of the Happy Valley Parks & Recreation Foundation. All decisions are final.

Thank you! We'll be in touch soon.