Scholarship ApplicationDownload / Print Scholarship ApplicationCVPRD Scholarship Application OnlineName (required)Parent/Guardian Name (if under 18)Address (required)City (required)State (required)Zip (required)Phone (required)Email (required)Sex (required)MaleFemaleAge (required)Race/Ethnicity (required)African AmericanAsianCaucasianHispanicOtherProgram Applying for (required)Fee (required)How will you or your child benefit from the recreation activity you're applying to receive scholarship funds for? (required)Applicants must be a District resident and provide either a valid driver's license or other picture ID indicating residency in Dacono, Frederick, or Firestone. Show proof of participation in an assistance program such as SNAP (EBT cards), Aid to the Needy and Disabled (AND), Child Care Assistance Program (CCAP), foster care, free or reduced lunch, Low Income Home Energy Assistance Program (LIHEAP), Medicaid, Medicare Savings Program, Old Age Pension (OAP), Supplementary Security Income/Social Security Disability Income, or Temporary Assistance for Needy Families (TANF). If you are not on a qualifying assistance program but your income is within federal low-income guidelines, please submit a copy of your most recent 1040 tax return with your social security number blacked out. If you are unable to upload documents, you may present your documentation in person at any CVPRD location.Upload required documentation hereYour Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesDate SignedThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
