2019-20 Access ASSET Scholarship Application

Part 1: District/Education Organization Information

Please answer the following questions at a district or organization level.

If a question does not apply to your district or organization, please indicate N/A.

Note: You will not be able to save your application and complete it at a later date. For your benefit, we recommend that you review a preview of the application questions and fill out your answers in a Word document prior to completing the online application.

For questions, email info@assetinc.org or call (412) 481-7320

Question Title

* 1. Please indicate your organization type.

Preschool/Early Learning Center

School District

Public School

Private School

Charter School

Alternative Education for Disruptive Youth (AEDY)

Intermediate Unit

After School/Out-of-School Time

Adult Education/Technical Institute

Other (please specify)

Question Title

* 2. Organization Name

Question Title

* 3. Mailing Address:

Street

City

State

Zip Code

Question Title

* 4. Contact Information:

Name

Phone