Scholorship Requests

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=95 BGCOLOR="#FF0000" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Times New Roman" ><B>  </B></FONT><B>  </B><B> </B><B>|   </B><A HREF="index.htm" TARGET="_top" TITLE=" "><U><B>home</B></U></A></div> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="id2.htm" TARGET="_top" TITLE="About SMaRT Fun"><U>About SMaRT Fun</U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="SMaRT Fun Philosophy"><U>SMaRT Fun Philosophy</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="About The Director / Teacher"><U>About The Director / Teacher</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Tour The Building"><U>Tour The Building</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Class Rules"><U>Class Rules</U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Class Schedule"><U>Class Schedule</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Tuition Rates"><U>Tuition Rates</U></A>   |   <B>Scholorship Requests</B>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Application Form"><U>Application Form</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=385 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Scholorship Requests</I></div> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>Scholarship Application</B></div> <bR> <div> <I>Scholarships are currently awarded on a semester-by-semester basis.  A new application must be completed for each semester in which the student is seeking a scholarship.Scholarship requests must be submitted no later than two weeks prior to the beginning of the semester, unless otherwise approved by the scholarship administration.  Awards may only be used for education received at SMaRT FUN Learning Adventures.  The information requested must be disclosed for all parent/guardian households of the student being registered. We recommend the signatures of all parents/guardians with custodial rights of the child be provided. At least one signature is required. </I></div> <bR> <div> <I>Today's Date:_______________     </I></div> <bR> <div> Semester Requesting Scholarship:______________________     Grade of Student:______________</div> <bR> <div> Child's Name:  _____________________________________     DOB:________________________</div> <bR> <div> Mother/Guardian: __________________________________________________________________</div> <div>                </div> <div>                  Employer: ___________________________________________________________</div> <div>      </div> <div> Father/Guardian:  __________________________________________________________________</div> <bR> <div>                  Employer: ___________________________________________________________</div> <bR> <div> Mother Home Ph: ______________________   Cell Ph:_________________________ </div> <bR> <div> Email: __________________________________________________________</div> <bR> <div> Father Home Ph: ______________________   Cell Ph:__________________________</div> <bR> <div> Email: __________________________________________________________</div> <div> Total income for household(s) per month is: _____________________________________</div> <bR> <div> Scholarship amount requested is: ______________________________________________</div> <bR> <div> Special Circumstances: </div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> Signature: ______________________________________________ Date: __________________</div> <div>                     <FONT SIZE="1" COLOR="#000000" FACE="Arial" >(mother/guardian)</FONT></div> <bR> <div> Signature: ______________________________________________ Date: __________________</div> <div>                       <FONT SIZE="1" COLOR="#000000" FACE="Arial" >(father/guardian)</FONT></div> <bR> </td> </tr></table></body>