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CVPRD Scholarship Application

  1. Sex*
  2. Race/Ethnicity*
  3. 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.

  4. FOR OFFICE USE ONLY
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  6. This field is not part of the form submission.