Youth Applicant First Name
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Youth Applicant Last Name
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Age
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Current Grade in School
School Attending
What program(s) are you applying for?
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Check all that apply
Girls at the Helm
Fantastic Voyage
Apprenticeship
Other
Parent/Guardian First Name
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Parent/Guardian Last Name
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Email Address
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Phone Number
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Address
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City
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State
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Zip Code
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Country
Parent/Guardian Occupation
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Parent/Guardian Employer
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Expected Income this Year
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Number of People in Household
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How much financial aid are you requesting?
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Please describe why you are requesting financial assistance at this time:
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What other information do you think it would be helpful for us to know?
I, the undersigned, certify the truth of the statements made in this application.
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Please type your electronic signature into the text box