The Oklahoma Center for Community and Justice : School & Youth Programs : Apply for Anytown Scholarships

Please fill out the form below to apply for a scholarship to attend Anytown Leadership Institute

Please make sure you also complete the Anytown Leadership Institute 2021 application.

First Name (Required)

Last Name (Required)

Email (Required)

Name of Parent/Guardian (Required)

Parent/Guardian Email (Required)

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Family Income Per Month (Required)

Please list all indivduals in your household. Include name, age, relationship to applicant, occupation, and school attended. (Required)

OCCJ requests that each delegate contribute a minimum amount of $20.00 toward the $150 program fee.

Scholarship amount requested: (Required)

Are there any circumstances we should be aware of that might warrant special consideration for financial assistance? If so, please explain: (Limit 250 words) (Required)