Scholarship Application Which scholarships are you interested in? * ** If you are interested in scholarship for Stable Moments you do NOT have to fill out Justins' Place form. You can apply through OCA directly at: https://www.orphancarealliance.org/oca-community-impact-application Lynn & Rovena Alexander Scholarship for Barn Buddies Buddy Page Scholarship for Barn Buddies OCA Scholarship for Stable Moments Participant Name * First Name Last Name Guardian Name * First Name Last Name Email * Have you completed your Justin's Place application for services? * Yes No Have you previously received a scholarship for Justin's Place services? * Yes No What is your approximate annual income for your household? * The monthly fee for Barn Buddies is $140 per month. What would be a realistic monthly fee for your family's budget? * Please explain the employment status of the parents or guardians of this child? * Please list any financial stressors or current struggles that affect your ability to pay for services from Justin's Place. * Please tell us what activities you feel your child would benefit most from attending Justin's Place. * By typing my name below I verify that all information provided is true to the best of my knowledge. I understand that applying for this scholarship does not guarantee services. * First Name Last Name Thank you!
