City to Sanctuary
Scholarship

this scholarship is for students who are new to the City to Sanctuary program.

Student's Name

First Name

Last Name

Student's Date of Birth

YYYY

This scholarship applies to the City to Sanctuary program only. Trips are scheduled once a month for a total of 3 trips a term (Fall term is October through December; winter term is January through March; and, spring term is April through June). Registration is required for the whole term. Current pick-up and drop-off stops are in Long Island City and Harlem. Full fee per trip is $160; fee with 25% scholarship is $120; and, fee with 50% scholarship is $80. The fee for the first trip is charged at the time of registration. The fees for the second and third trips are charged a month apart from the initial registration date.

Select your family's annual gross income in 2021

Select level of scholarship requested

Select your child's ethnicity

Does your child have any special needs of which we should be aware?

Does your child have any medical issues of which we should be aware?

If you have any questions or comments, please let us know here:

You will be notified of the status of your application within 48 hours. Please sign and date below.

City to Sanctuary Scholarship

this scholarship is for students who are new to the City to Sanctuary program.

City to Sanctuary
Scholarship