Scholarship Application

Scholarships are awarded based on need and subject to available funding. Complete the application below and our team will be in touch.

This application is a preview and is not yet connected. Submissions are not saved or sent.

Student Information

Student Name *

Age *

Grade Level *

Current School *

Parent / Guardian Name *

Phone *

Email *

Academic Need

Why are you seeking support for your child? (Select all that apply) *

Below grade level in readingStruggling with letter sounds / blendingDifficulty with comprehensionTeacher has recommended extra supportFirst-generation immigrant studentEnglish language learner (ELL)Has IEP, 504, ADHD, Autism, or special learning needsOther

Describe your child's academic struggles *

Home & Family Support

Does your child have reading support at home? *

YesNoSometimes

Does anyone at home speak or read English confidently? *

YesNo

Is your child a first-generation immigrant? *

YesNo

Financial Need

Household Monthly Income *

Under $1,500$1,500 - $2,500$2,500 - $3,500Over $3,500

Number of people living in the home *

Does your family receive any assistance? *

MedicaidSNAPWICHousing AssistanceNone

Family Commitment

We ask families to support their child's progress by bringing them to tutoring on time, encouraging reading at home, and staying in communication with our team.

Can you commit to this? *

YesNo

Supporting Documents

Upload Proof of Income

Upload Proof of Residency

Certification & Signature

I certify that the information provided is true and accurate.

Parent / Guardian Signature (type full name) *

Date *

Palm ValleyLearning Academy

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3301 N. Taylor Rd.
Mission, TX 78574

palmvalleyacademy@gmail.com
(956) 566-3136