Scholarship Application

Complete the application form below, then send a copy of your most recent paycheck stub or W-2 to registration@ojaiyes.org for income verification.

OYES Scholarship Application
To be filled out by parent, guardian, or applicant over the age of 18 who declares themselves financially independent.
Parent/Guardian/Independent Applicant Full Name *
Parent/Guardian/Independent Applicant Full Name
Daytime Phone Number *
Daytime Phone Number
Home Phone Number
Home Phone Number
Mailing Address *
Mailing Address
Student 1
Full Name (Student 1) *
Full Name (Student 1)
Date of Birth (Student 1) *
Date of Birth (Student 1)
$
Student 2
Full Name (Student 2)
Full Name (Student 2)
Date of Birth (Student 2)
Date of Birth (Student 2)
$
Student 3
Full Name (Student 3)
Full Name (Student 3)
Date of Birth (Student 3)
Date of Birth (Student 3)
$
(i.e. Welfare, Medi-Cal, SDI, AFDC, SSI, or SSA)
$
$
*
Student Questionniare
To be filled out by the student.
Student 1
Include NAME, JOB TITLE, and PHONE NUMBER
Student 2
Include NAME, JOB TITLE, and PHONE NUMBER
Student 3
Please include NAME, JOB TITLE, and PHONE NUMBER