2025 Scholarship Application

2025 Scholarship Application
Student/Child Information
Name*

First NameMiddle Name (If no legal middle name, please enter 'x')Last Name
County*
Other County*
School District*
Other School District*
Free/reduced meals eligible*

YesNo
Are you a member of the AIM (Alliant) Credit Union?*

YesNo
Will your student graduate from Burlington Community School in 2029? (Just completed 7th grade year in the 23/24 school year and will be entering 8th grade in 24/25.)

YesNo
Did this student receive a scholarship in the past?*

YesNo
If Yes, what year(s) were the scholarships received. (List all that apply)
What topics/classes are you interested in?*
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone*
Please include your area code and enter only numeric digits. Example 3197522731
Parent/Guardian Email*
example@example.com
Confirm Parent/Guardian Email*
example@example.com
Additional Information
Other topics/classes you are interested in*
Disclaimer Statement
Scholarships are available through a number of full and partial funding sources. This is a joint application used for several sponsored scholarships. Therefore, some questions have been included in the application to satisfy specific donor preferences. Applications will be considered according to sponsored scholarship criteria. All Applications are date stamped when submitted.

Classes are filled on a first-come, first-paid basis. Should your child receive a scholarship after full payment has been received, a reimbursement in the amount of the scholarship will be given. First review of 2025 Applications will be Monday, March 31, 2025. Applications received after the deadline will be reviewed every two weeks as long as funds are available. Consideration of applications is subject to availability of scholarship funds.

For questions please call 319-208-5375.
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2025 Scholarship Application

Student/Child Information

Parent/Guardian Information

Additional Information

Disclaimer Statement