Please do not enroll in class or complete this application until you have contacted our office.

After you contact our office to express interest in the scholarship program, you'll be ready to complete this one-page application. Please complete a new application for each student whom you intend to enroll in programming. If you should have any questions about how to complete this form, please contact us at sparc@sparcrichmond.org

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* 1. Student First Name

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* 2. Student Last Name

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* 3. Which SPARC class does the student listed above want to attend? (Please include the full name of the class and the day of the week when it meets.)

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* 4. Parent or Guardian First Name

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* 5. Parent or Guardian Last Name

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* 6. Parent or Guardian Email Address

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* 7. Parent or Guardian Phone Number

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* 8. What is the zip code at the student's primary residence?

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* 9. How many people live at the student's primary residence?

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* 10. How many youth (ages 18 or younger) and other dependents live at the student's primary residence?

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* 11. How many adults live at the student's primary residence?

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* 13. SPARC's scholarship committee carefully reads each family's application. Is there any information not already included in your application that you'd like to share with us?

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* 14. Please use the file upload feature below to send one type of documentation that most accurately verifies your family’s current income. Be sure to mark out all sensitive personal details like social security numbers and bank account numbers. We want to ensure that we can review recent documentation that best speaks to your family’s immediate circumstances, especially with regard to changes due to the pandemic. Examples of acceptable documentation include...
- approval of unemployment insurance claims
- paystubs dated in the last two weeks
- SNAP benefits statements
- WIC benefits statements
- TANF benefits statements
- FAMIS enrollment statements
- free or reduced breakfast/lunch enrollment
- the first two pages of your most recent federal tax return (if that return is still representative of your current income)

If you do not have access to any of these types of documents, please email us at sparc@sparcrichmond.org to discuss what other options you may have. Similarly, if you are not able to upload a digital file here for any reason, please email us as well.

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