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Scholarship/Program Funding Request

Please complete the form to request a scholarship or program funding. All requests will be reviewed on a monthly basis by the Why Not A Pear Board. After evaluation, an email with a request response will be sent. Requests may also be submitted to info@whynotapear.com

Recipient's Name:

First

Last

Parent/Guardian Contact Name:

First

Last

Email:

Phone:

Recipient Date of Birth (MM/DD/YY):

Mailing Address:

Detailed summary of what is being requested (after-school/summer program, organization funds, scholarship, etc.) with specific costs/fund request amount:

Specific dates of the program or effective date of scholarship:

Reason for request:

How will the scholarship/program funds change or impact the recipient's life?

How will the scholarship/program funds support the recipient's family?

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Educational Tools and Equipment Request

Recipient's Name:

First

Last

Parent/Guardian Contact Name:

First

Last

Email:

Phone:

Recipient Date of Birth (MM/DD/YY):

Mailing Address:

Detailed summary of what is being requested (iPads, learning devices, stroller, etc.) with specific costs and how/where it can be purchased:

Reason for request:

How will the item(s) change/impact the recipient's life?

How will the item(s) support the family?

How long will the item(s) be useful for recipient?

If applicable, please include the contact information for professional making the request (Name, Title, Company Name, Email & Phone Number):

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