Fall Institute 2020:
Running the Race of Excellence for Kentucky's Children

Scholarship Application

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* 1. Please enter the following information

Your Name (First / Last) *

Center Name *

Address *

City *

State

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Region Number

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* 3. School District

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* 4. Are you a current member of FRYSCKy?

Yes

No

Unsure

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* 5. What is the funding level of your Center?

Below $40,000 this year

Between $40,000-$60,000 this year

Over $60,000 this year

Other (please specify)

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* 6. Have you requested and received a Fall Institute scholarship from the Coalition?

Yes

No

Unsure

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* 7. Please provide justification for applying for this scholarship: