Scholarship Application . First Name *Middle InitialLast NameStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodePhone *Email Address *Birthdate *Recovery DateEmployment Status *EmployedUnemployedCurrent Monthly Income AmountDo you have Medical InsuranceYesNoInsurance ProviderIs there any reason you cannot be employed?Have you received RLC scholarship funds at any other RLC in the last 24 months? *YesNoPlease describeHave you tried to acquire funds for Recovery Living ?YesNoWhat have you done to attempt to acquire funds for Recovery Living?Please explain your need for financial assistance:I have read the scholarship guidelines, completed the above scholarship application with attachments, and certify that I qualify for scholarship award consideration. I understand that submission of an application does not guarantee scholarship funds. The organization will contact me within 1 week of applicationsubmission, with a decision of approval or denial and the scholarship amount if awarded.Send Message
