OLLI Scholarship Application

A limited number of scholarships will be available. Full scholarships will cover the Deluxe Annual Membership fee (currently $185), including up to twenty classes per year, based on demonstrated need and availability of funds. The scholarship does not include OLLI socials, trips, or additional course materials fees.

Depending on the availability of scholarship funds, and the judgment of the scholarship committee, partial scholarships may also be awarded.

The committee approves scholarships based on income up to twice the federal poverty level, $2,608 per month for individuals, $3,525 per month for a couple. They also consider extenuating circumstances (medical expenses, supporting a disabled adult child etc.) All of your information is kept strictly confidential.

OLLI Location:*

PrescottSedona/Verde Valley

Date: *

Name:*

Address:*

Email:*

Phone:*

Please list all your sources of income and amounts (includes gross wages, rental income, gross income from self-employment, public assistance, social security, unemployment compensation, alimony, pensions, veteran's benefits, etc.):*

Number of People in your household:*

Anything else you would like the committee to consider (extraordinary medical expenses, family issues that might affect your financial status.)

The information I have provided is complete.

Fiscal Year

Session

Order Number

Approved

Yes - PrescottYes - Sedona/Verde

Notes

twice the federal poverty level for 1 person is $29,160 annually, $2,430 per month.

Twice the federal poverty level for 2 people is $39,440. $3,287 per month.