Client Scholarship Application

Scholarship Application

Use this form to request a scholarship.
  • Income Verification

    Complete this portion if the scholarship you are requesting requires income verification.
  • Max. file size: 50 MB.
    You may also submit by email at receptionist@mycounselor.online
  • Scholarship Agreement Form

    Once you submit this application, you will be directed to an agreement form.
    You must sign and submit the agreement form in order for your scholarship to be processed.