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SNUMA Scholarship Application
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Drag and drop csv file with emails
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SNUMA Scholarship Application
First Name
*
Last Name
*
Home Address
*
Email Address
*
Email
form field Email Address
is not in correct form
Primary Phone Number
*
Phone
form field Primary Phone Number
must be in the format: (000) 000-0000
Secondary Phone Number
Phone
form field Secondary Phone Number
must be in the format: (000) 000-0000
Annual Household Income BEFORE COVID-19
*
-- Select one --
$ (USD, US Dollar)
€ (EUR, Euro)
¥ (JPY, Japanese Yen)
£ (GBP, British Pound)
Fr (CHF, Swiss Franc)
$ (CAD, Canadian Dollar)
$ (AUD, Australian Dollar)
$ (HKD, Hong Kong Dollar)
R$ (BRL, Brazilian Real)
$ (CLP, Chilean Peso)
¥ (CNY, Chinese Yuan Renminbi)
Kč (CZK, Czech Koruna)
kr (DKK, Danish Krone)
Ft (HUF, Hungarian Forint)
₹ (INR, Indian Rupee)
Rp (IDR, Indonesian Rupiah)
₪ (ILS, Israeli New Shekel)
₩ (KPW, Korean Won)
RM (MYR, Malaysian Ringgit)
$ (MXN, Mexican Peso)
$ (NZD, New Zealand Dollar)
kr (NOK, Norwegian Krone)
Rs (PKR, Pakistan Rupee)
₱ (PHP, Philippine Peso)
zł (PLN, Polish Zloty)
₽ (RUB, Russian Ruble)
$ (SGD, Singapore Dollar)
R (ZAR, South African Rand)
kr (SEK, Swedish Krona)
T$ (TWD, Taiwan Dollar)
฿ (THB, Thai Baht)
t (TRY, Turkish Lira)
₴ (UAH, Ukraine Hryvnia)
Currency
Form field Annual Household Income BEFORE COVID-19
requires format 1,000.00
Annual Household Income AFTER COVID-19
*
-- Select one --
$ (USD, US Dollar)
€ (EUR, Euro)
¥ (JPY, Japanese Yen)
£ (GBP, British Pound)
Fr (CHF, Swiss Franc)
$ (CAD, Canadian Dollar)
$ (AUD, Australian Dollar)
$ (HKD, Hong Kong Dollar)
R$ (BRL, Brazilian Real)
$ (CLP, Chilean Peso)
¥ (CNY, Chinese Yuan Renminbi)
Kč (CZK, Czech Koruna)
kr (DKK, Danish Krone)
Ft (HUF, Hungarian Forint)
₹ (INR, Indian Rupee)
Rp (IDR, Indonesian Rupiah)
₪ (ILS, Israeli New Shekel)
₩ (KPW, Korean Won)
RM (MYR, Malaysian Ringgit)
$ (MXN, Mexican Peso)
$ (NZD, New Zealand Dollar)
kr (NOK, Norwegian Krone)
Rs (PKR, Pakistan Rupee)
₱ (PHP, Philippine Peso)
zł (PLN, Polish Zloty)
₽ (RUB, Russian Ruble)
$ (SGD, Singapore Dollar)
R (ZAR, South African Rand)
kr (SEK, Swedish Krona)
T$ (TWD, Taiwan Dollar)
฿ (THB, Thai Baht)
t (TRY, Turkish Lira)
₴ (UAH, Ukraine Hryvnia)
Currency
Form field Annual Household Income AFTER COVID-19
requires format 1,000.00
How many total persons live within your household?
*
Form field How many total persons live within your household? has
Invalid numeric value.
How many children K-8th grade live in your household?
*
Form field How many children K-8th grade live in your household? has
Invalid numeric value.
Are any children in the household currently enrolled in SNUMA?
*
Are any children in the household currently enrolled in SNUMA?
Yes
No
If you received a SNUMA scholarship, would you register your children in the SNUMA program?
*
If you received a SNUMA scholarship, would you register your children in the SNUMA program?
Yes
No
Which options(s) are you participating in?
*
Which options(s) are you participating in?
Option 1: Assistance for homeschooled children with online curriculum - $2 per day
Option 2: CCSD student in person learning assistance with their school's academic program - $20 per student
Which options would you participate in?
*
Which options would you participate in?
Option 1: Assistance for homeschooled children with online curriculum - $2 per day
Option 2: CCSD student in person learning assistance with their school's academic program - $20 per student
How many weekdays for Option 1?
*
Value is not selected
-- Select one --
0
1
2
3
4
5
How many weekdays for Option 2?
*
Value is not selected
-- Select one --
0
1
2
3
4
5
How has COVID impacted your household? Example: Lost job, reduction in hours, etc.
Supporting Documents
*
Supporting documents can be one or more of the following: letter of impact from employer,unemployment statements, check stub or bank account information and current active ID. ***Multiple extensions are not allowed. Please ensure that only one period is present in the file name and is placed before the file extension type.***
Form field Supporting Documents has
Invalid files.
By checking this box, I acknowledge that, if approved, I will complete and submit a SNUMA Participation Form and Scholarship Certificate for any children I am applying for.
*
Click here to fill out the SNUMA Participation Form
By pressing Submit below, the applicant certifies the information provided is valid and accurate.
*
Email Address:
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