Scholarship Program

2. • Coronado residents (youth, adult, senior) may apply for one scholarship, per participant, per brochure season. 
   • Scholarships may be used for classes, camps, one-day events, or memberships.
   • Proof of Coronado residency is required in order to process the application. 
   • Dollar value of the scholarship awarded is based on the funds available in the account, the applicant’s financial situation, and the number of applicants applying. 
   • This form is an application only; filling it out does not guarantee a scholarship. If awarded, you will be notified by phone and email.
4. Name of Participant *
5. Age of Participant *
7. Address*
9. City*
10. State*
11. Zip Code*
13. Email
14. Phone Number*
16. Family Annual Income *
17. Family Size *
19. Have you participated in our programs previously?

    1. Yes

    1. No
20. If yes, when and what program?
22. Name of Program, Class, or Membership (1st Choice): *
23. Fee*
25. Name of Program, Class, or Membership (2nd Choice):
26. Fee
28. Total Cost of program $*
29. Family Contribution (minus) $ *
30. Total Amount Requested (equals) $ *
32. Please briefly describe how a scholarship would be a benefit to you or a family member. *

34. By typing my full name below, I attest all information provided is true and correct. Providing false information will result in disqualification from the City of Coronado Scholarship Program.

36. Type Full Name*
37. Date
    Date
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field