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Safety Town Scholarship Application 2020


  1. 1. Funding for Safety Town 2020
  2. 2. List each child applying for a scholarship
  3. 3. Signature
  • Funding for Safety Town 2020

    1. Application Guidelines
      Eligibility: You must be a City of Eugene resident residing in the incorporated area of Eugene and your income must be within program eligibility guidelines.

      Application approval does not guarantee reservation of funds or registration in camp: Scholarships are limited and awarded on a first-come, first-served basis for all eligible participants. You will be notified if approved and funding will be disbursed accordingly.
    2. Scholarship Award:
      If you are eligible for a Safety Town scholarship, you will receive a $30 discount from the $60 camp fee. ($30 remaining fee)
    3. Main Contact Information
      To be completed by adult applicant or parent/guardian if applicant is under 18 years of age.
    4. Homeless?*
    5. (if different from street address)
    6. Include child support, alimony, unemployment, self-employment, social security, pensions and veteran's payments, regular contributions from persons not living in the household, and any household income from all household members.
    7. Check any public assistance program from which you currently receive benefits: