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Scholarship Form 


Applicants must be a district resident and must be under 18 years of age.

Participants must provide one of the following for proof of eligibility:

• Proof that participant is eligible for the Free or Reduced School Lunch Program

• Proof that sibling is eligible for the Free or Reduced School Lunch Program (if participant is too young to attend school.

• Proof that family is eligible to receive assistance from the Department of Human Services

• Proof that family is eligible for food stamps

• Proof that family is eligible for Medi-Cal or Kern Family Health Care services

• Proof that family is eligible for WIC benefit


• The scholarship program is available to Tehachapi Valley Recreation and Park District residents.

• Scholarships will be awarded to applicants in accordance to scholarship criteria.

• Approved applicants will receive a scholarship for program registration up to $50 per person, per season. (Winter, Spring, Summer, Fall)

• Any additional program fees above the awarded scholarship amount are due at the time of registration.

• All registration policies and procedures apply to scholarship applicants

• Upon completion of the application, Tehachapi Valley Recreation and Park District will notify the applicant by mail within two weeks of their scholarship status.

• All information submitted must be true and accurate. Financial assistance awarded on the basis of false information supplied by the applicant will be revoked.

• Scholarships are good for one year from date of approval.

• All requests for scholarships must be received within a minimum of three weeks prior to the start of any requested program or activity.

• Remaining scholarship money awarded for one season does not carry over to the next season. Future funds cannot be used for current programs.

• Qualifying individuals cannot transfer their scholarship to another qualifying individual

• Applications are available at the Tehachapi Valley Recreation and Park District office or online at

Applicant Information

Please complete all information of all individuals in household, including spouse/partner.

Employment Information

Do you have or receive any of the following?

Please list all other sources of income received by all household members. (Before deductions)

Acknowledgement of Application Policy

I certify that all of the above information is true and accurate and that all income has been reported. I understand that Tehachapi Valley Recreation and Park District officials may verify this information and that misrepresentation of the information will result in denial of the scholarship.
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