Scholarship Form

Family Scholarship Application

First Name

Last Name

Address, City, State, Zip

Phone

Brief description of how scholarship will be used and will benefit your child and family.

Amount Requested

ASWS requires 5 hours of volunteer service. Please check which volunteer opportunities you will help at this year.

Writing an article for the HOPE newsletter

Helping to organize a social event

Helping with our annual Spring Fling

Helping with registration or hosting at an event

I would like an officer to contact me to discuss volunteering

Serving on the Board of Directors for ASWS

Join the ASWS Open Golf Event planning committee

By checking this box, I agree that I am a member in good standing. I understand that I must complete my volunteer requirement before receiving my scholarship.

Thanks for submitting!

Autism Support

of West Shore

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Family Scholarship Application