Scholarship Application

Integral Steps Scholarship Application

* Indicates required field

Name *

First

Last

Child(ren)'s name(s) *

Email *

Phone Number *

Which Integral Steps class/program are you applying for assistance with? *

Please tell us about yourself, your family & provide a statement regarding your need: *

Do you have special skills that would benefit Integral Steps? If so, please describe below. *

How much additional funding would be needed? *

How much are you able to contribute to the cost of this program? *

Submit