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.

ov19l50p73vg

First Name (Required)

Last Name (Required)

Email (Required)

Name of Parent/Guardian (Required)

Parent/Guardian Email (Required)

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)