Apply for a Scholarship

Thank you for your interest in Hoops For Hope financial Assistance. We offer scholarship money to families with students that attend a Clackamas High School feeder school or who attend Clackamas High School. The money may be used for students who would like to pursue an academic, athletic, artistic, or other educational endeavor.

To apply for financial assistance, please complete the following form and hit submit. All applications are kept confidential.

Primary Adult Applicant (required)

Primary First Name

Primary Last Name

Primary Date of Birthof appointment

Primary Emaila valid email

Phone Number

Occupationname of job

Secondary Applicant (if applicable)

Secondary First Name

Secondary Last Name

Secondary Date of Birthof appointment

Secondary Emaila valid email

Alternate Phone Number

Primary Residence (required)

Address in which you resideyour full name

City/State/Zipyour full name

Please List Spouse and all Dependents Living at Home

Dependent Nameyour full name

School or Employerschool or employer

Date of BirthDOB

Relationshiprelationship

Dependent Nameyour full name

School or Employerschool or employer

Date of BirthDOB

Relationshiprelationship

Dependent Nameyour full name

School or Employerschool or employer

Date of BirthDOB

Relationshiprelationship

Dependent Nameyour full name

School or Employerschool or employer

Date of BirthDOB

Relationshiprelationship

Intended Youth Scholarship Recipient Information

Youth Full Nameyouth full name

Youth Ageyour age

School Attendingschool attending

Name of Activity or Program Scholarship Would be Appliedschool attending

Total Cost of Activity or Programschool attending

Amount Requesting$$ amount requested

Please share why you are applying for financial assistance.

request details

0 /

Certification

Buy signing below, I certify the following statements are true:

The youth applying for the scholarship attends a school that feeds into Clackamas High School or attends Clackamas High School.
Paying the full amount of the activity or program I am requesting the scholarship for would be a financial hardship on our family.
The activity or program in which I am applying for the scholarship falls under the category of an academic, athletic, artistic or an educational endeavor.

Applicant SignatureI agree to the terms and conditions

(Applicant Sign Here)

Clear Signature

Co-Applicant Signature (if applicable)I agree to the terms and conditions

(Co-Applicant Sign Here)

Clear Signature