Live Conference Scholarship - The LYFE Foundation

If you are applying for a scholarship for 5 or more people OR you are a youth and young adult organization please use the "Live Conference Scholarship GROUP FORM"

Date*

Time*

: HH

MM

Name of youth/young adult applying for scholarship*

First Last

Age*

School Name*

Parent/Guardian Name

Parent/Guardian Phone*

Parent/Guardian Email*

Please check all the answers below that apply to you.*

I receive TANF, SNAP or the lunch assistance program at school
I live in a single parent household where the yearly earnings are less than $40,000 a year
I live in a dual parent household where the yearly earnings are less than $60,000 a year
I am currently in foster care/separated from my parents
I am a ward of the state
None of these apply to me
I need a Live Conference Scholarship for other reasons. (PLEASE FILL OUT SECTION MARKED "OTHER" BELOW TO EXPLAIN)

OTHER

I am the only member in my family applying for a Live Conferences Scholarship*

True
False
If False Please fill out next question

If you are applying for a scholarship for 2-4 Youth please list their name(s) and age(s) below. PLEASE NOTE: YOU WILL STILL HAVE TO FILL OUT ONE SCHOLARSHIP REQUEST "PER PERSON" FOR EACH YOUTH TO BE PLACED ON THE SCHOLARSHIP LIST.

How did you hear about us/ Who referred us to you?*

Live Conference Scholarship Form