IT's All About The Youth Foundation Application

(Please print or type)

I. Applicant Information

Name of Applicant ___________________________________________________________

Address ____________________________________________________________________

City/State ____________________________________________     Zip Code ____________

Telephone Number _________________ E-Mail Address ____________________________

Applicant is part of Single-Parent Family?  Yes _____  No _____   Age ______

Ethnicity: Caucasian _____  African American _____  Latino/Hispanic______ Asian  _____

Other - please specify _____________________________________

Annual household income: ___$19,000 or less   ___$20,000-34,999   ___ $35,000-40,000

II. Parent/Guardian Information

Name _____________________________________________________________________

Address ___________________________________________________________________

City and State __________________________________________ Zip Code ____________

Home Telephone #  ____________________ Work Telephone #_______________________

Email Address_______________________________________________________________

May you be contacted by email? Yes ___  No ___

III. IAATY Match Information

______ Yes, applicant is currently active and or have completed the 1 year of the mentoring progam with IT's All About The Youth Foundation.  Start date ________ End date _________

Name of IAATY Mentor ________________________________________________

IV. Academic and/or Enhanced Learing Information

Name of School Currently Attending _____________________________________________

Address ________________________________City/State____________________________

Phone Number ______________________      Grade_________       GPA ___________

Name of Institution for which you are requesting funds _______________________________

____________________________________________________________________________

Address ____________________________________________________________________

Name of academic and/or cultural activity opportunity ________________________________

_____________________________________________________________________________

From __________________ To ___________________ Cost ___________________________

Supplies needed _______________________________________________________________

_____________________________________________________________________________

Why do you want to take this class or why do you need a tuition supplement? ____________

_____________________________________________________________________________

_____________________________________________________________________________

_____ Yes, I am enclosing an estimate, letter or flyer indicating the organization’s classes,

program’s length of time and cost to the student and deadline for payment.

_____ Yes, I have attached a 250 hunderd word essay on the most infulential person in my life.

_____ Yes, I have attached a 150 word essay on what the IAATYF mean to me.

Applicant’s Signature ________________________________ Date ___________________

Parent/Guardian Signature ____________________________ Date ___________________

Mentor Signature ____________________________________Date ___________________

.

Mail completed applications to:

IT's All About The Youth Foundation Inc.

4710 Leroy Gorham Drive

Capital Heights, Md 20743

ATTN: IAATYF Scholarship Fund

The

Youth Are

The Future