Prototype Academy Financial Aid Request

Financial Aid Request Form

This replaces the prior Google Form and stores responses directly in the Prototype Academy Drive folder.

Certification

I agree and certify that the information I provide in this application is accurate. *

Athlete Information

Athlete's Full Name *

Athlete's Current Age and Grade *

Parent / Guardian

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Primary Language Spoken at Home

Household Information

How many people live in your household? *

Total annual household income *

Upload proof of enrollment or hardship documentation

Benefit letter, card, screenshot, tax/income document, or other supporting documentation. Multiple files accepted.

Request Details

How would this scholarship help your child participate? *

Does your family currently face any specific financial hardship?

Would your family be able to contribute a partial payment if full scholarship is not available?

Signature

Type your full name to certify *

Today's Date *

By submitting, you authorize Prototype Academy to review this information for financial aid decisions. Please do not submit Social Security numbers or unrelated sensitive information.