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Recreation Scholarship Program Application

Participants are eligible to receive up to $250 annually, January 1 - December 31. Please call the DSA office at (531)375-5791 if you have any questions regarding your scholarship balance for the current fiscal year. Funds are awarded on a first applied, first accepted basis. 

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First Name
Last Name
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It is free to join but you must register as a member prior to requesting scholarship funding.
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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*Information collected for grant writing purposes.
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This information is used for grant purposes. Please check all that apply.
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(mm/dd/yyyy)
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