X2F Chicago Scholarship Request Form

Parent/Guardian Name *

Parent/Guardian Name

First Name

Last Name

Email Address *

Phone

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Child's Name *

Child's Name

First Name

Last Name

School *

Have you received a scholarship before? *

Scholarship Need *

Scholarships are limited, but we will do everything we can to accommodate your needs. In order to do so, please let us know what level of financial assistance you need and we'll get back to you shortly with what we have available.

I need the price discounted to a $100 fee.

I need the price discounted to a $75 fee.

I need the price discounted to a $50 fee.

I need the price discounted to a $30 fee.

I am unable to pay and need a full scholarship.

I need to break up my payment over several installments.

Additional Information *

Please share as much as you're willing about your scholarship need and any details needed, such as if you need to pay over several installments what will work best for you.

X2F Chicago Scholarship Request Form

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