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City of Astoria, Oregon

 

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The need for some residents to obtain financial assistance to attend certain recreational activities is recognized by the City of Astoria. For those who qualify, a certain amount of scholarships are available. The following information is confidential. It is necessary to receive this information to help determine the degree of need for each applicant. This form must be filled in completely. Income verification documents will be required. It may take up to 14 days to be approved.

Scholarship Requested for What Program or Pass:
Participant's Name:
Address:
City:
State:
Zip:
Total yearly family income
(all pay, allowances, maintenance/child support, social service allowance, and other income):
Number of children living at home:
Number of adults living in home:
Phone:
 
  • You must be a resident of Astoria
  • Scholarships are provided in two forms: 100% scholarships for those who meet very low household income requirements or 50% scholarships for those who meet low-income house requirements (see back side of application for requirements).
  • Eligibility documentation is required. The appropriate documentation includes; most recently filed tax return, Astoria School district notification for free/reduced lunch, or letter of approval from the State for Temporary Assistance for Needy Families (TANF), medical assistance, or food assistance is required.
  • Household income is defined as the sum, on an annual basis, of all pay, allowances, maintenance/child support, social service allowances and other income in the household.
  • All information given is not a matter of public record and will be kept in the strictest confidence.
  • Submission of an application is not a confirmation of a scholarship or a registration form.
  • If a scholarship is approved, the recipient is required to pay the balance of the program cost and follow normal registration procedures. Scholarships are not transferable.
  • The number and amount of scholarship funding is available based on donations received by the Astoria Parks Recreation, and Community Foundation.
  • Scholarships will not be available for the following programs: childcare, to obtain plots at Oceanview Cemetery, private swim lessons, swim team passes, pool rentals, merchandise, daily walk-in fees, and parks punch passes.
 
Participant / Parent / Guardian Digital Signature:
Please type your full name
Date: 
Email Address:
 

Employee
of the
Month

   

Terra Patterson
Recreation Coordinator

and

Erin Reding
Recreation Coordinator


Thank you to Erin and Terra for pulling double duty this Spring and Summer to keep the Aquatic Center, Recreation Center, Port of Play and Lil' Sprouts and all associated programs up and running! You ladies are the best!


 
 
 

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