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Boys & Girls Club Scholarship

It is the policy of Boys & Girls Club to provide services regardless of the inability to pay. Scholarships are offered based on family/household size and annual income. Scholarships DO NOT begin until Administration Approval. Please complete the following information and submit it if you or members of your family are eligible for a scholarship.

Below, please list income from ALL sources including gross wages, tips, social security, disability, pensions, annuities, veteran's payment, net business, or self-employment, alimony, child support, military, unemployment, and public aid. 

First Name *
Last Name *
First Name *
Last Name
Spouse/Other Adult
Monthly Income
Annual Income
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