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Build With Us
Ways to Give
Donate Today

About Us
Our Programs
Signature Events
Daughters
Calendar
Make a Change
Blog
Contact Us
- Career Opportunities

Every Black Girl- Tuition Assistance

Participants Name*
First Last
Email
Phone
Participant Birth Date*
Participant Grade Level*
- K
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
Applicant (Parent) Name
First Last
What program are you requesting tuition assistance for?*
- Camp Diva Leadership Academy
- Girl Ambassador Program
- GFAC After school Program
- Immersion Lab Program
Address of Participant and Applicant
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How much are you able to contribute to your participant's tuition.*
Did you file a tax return this year?*
- Yes
- No
Please list any additional dependents and members of the household. If none, please write N/A.*
If applying for assistance for Afterschool or summer camp, are you working or studying at least 20 hours per week?*
- Yes
- No
- Not applying for Camp Diva Leadership Academy
Why do you need financial assistance or a full scholarship from Girls For A Change ?*
Financial assistance and full scholarships are made possible through the generosity of donors . Are you willing to share your GFAC story to help support GFAC fundraising campaigns?*
- Yes
- No
Once you receive financial assistance all recipients are required to volunteer. Not volunteering will hinder the participant from being able to get support in future Girls For A Change programs. Choose yes or no below to let us know that you agree.
- Yes, I agree
- No, I will not be able to volunteer
Would you like to Join our Newsletter?
I agree to join the GFAC Newsletter.
CERTIFICATION OF INFORMATION By typing my full name I certify that the information listed on this form is correct to the best of my knowledge. I understand that Girls For A Change is a nonprofit organization and that financial assistance is made possible through the generosity of donors. I understand that financial assistance will be awarded on a first-come, first-served basis. I agree to notify GFAC if my financial situation improves, so that my financial assistance can be re-evaluated, thus providing more opportunities for others in our community. I understand that to maintain my financial assistance, GFAC may, upon request, require updated financial information. I will be afforded at least 30 days to provide information when requested. Failure to do so may lead to the revocation of my financial assistance or termination of placement*
BEFORE COMPLETING THIS FORM PLEASE REMEMBER THAT YOU MUST REGISTER FOR CAMP AND COMPLETE THE CAMP DIVA APPLICATION FIRST. PLEASE ONLY COMPLETE THIS FORM IF YOU ARE IN NEED OF FINANCIAL OR SCHOLARSHIP ASSISTANCE. YOU WILL BE CHARGED A 31.50 FEE IF YOU APPLY FOR THIS SCHOLARSHIP AND FINANCIAL ASSISTANCE FORM. THIS IS NOT A REGISTRATION FORM (THIS ONLY APPLIES TO CAMP DIVA PARTICIPANTS)
Have you completed a registration form? If you have not completed a registration form please do that first. No refunds will be given if you do not complete a registration form first.*
THIS ONLY APPLIES TO CAMP DIVA LEADERSHIP ACADEMY PARTICIPANTS
This scholarship form has a $31.50 application fee that will need to be paid an invoice will be sent from paypal.com from campdiva@gmail.com. You will need to make that payment within 24 hours of submitting this application. If the fee is not received within that time frame we will not process your application.*
- I understand that I will need to make a $31.50 payment that will be sent by invoice from paypal.com via campdiva@gmail.com
THIS ONLY APPLIES TO CAMP DIVA PARTICIPANTS

GFAC advances opportunities for girls at the margins who are often overlooked or underestimated through pathways that expand access, build skills, and prepare them to lead with confidence and shape their lives while creating lasting community change.

Our mission is to prepare Black girls for the world and the world for Black girls.

100 Buford Road
North Chesterfield, VA 23235

info@girlsforachange.org

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