Fall 2017 Playgroups
September 12, 2017 - December 14, 2017

To learn more about our playgroups, click here.

 

Playgroup Scholarship Application

Instructions: Please fill out the following application. If you are, or will be, a student during the semester you are applying for you must send a copy of your course schedule to angelam@lavc.edu. Your application will be incomplete until you do so. The schedule must clearly show your name, the semester, and list of courses. 

Parent/Guardian Name *
Parent/Guardian Name
Child 1 *
Child 1
Date of Birth *
Date of Birth
Child 2
Child 2
Date of Birth
Date of Birth
CONTACT INFORMATION
Phone *
Phone
PLAYGROUP OPTIONS
SELECT YOUR TOP PLAYGROUP OPTION. *NOTE: YOU ARE NOT GUARANTEED THE PLAYGROUP YOU SELECT.
STUDENT INFORMATION
Are you currently a student? *
Email a copy of your course schedule to angelam@lavc.edu
How are you funding your education? *
Check all that apply
ANSWER THE FOLLOWING QUESTIONS:
Have you previously applied for this stipend? *
Have you previously attended playgroups? *
Section 4
Type name for signature.
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