Please complete this application to apply for the scholarship program electronically for the April 1, 2026 to March 31, 2027 term. 

You must reside in Olathe to be eligible. You must submit a copy of your 2025 Federal Income Tax Return for income verification. 

1

Primary Applicant/Head of Household 

 *

Primary Applicant/Head of Household

Last Name	First Name	Street Address
Zip Code	Phone Number ext.	Email
Birth Date (mm/dd/yy)

2

Spouse/Secondary Adult Applicant

Spouse/Secondary Adult Applicant

Last Name

First Name

Birth Date (mm/dd/yy)

3

Including yourself, how many persons make up your household?

 *

Including yourself, how many persons make up your household?

4

Additional Applicants

All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required. 

	Name	Relationship to HOH	Sex (M/F)	Birth Date (mm/dd/yyyy)
Dependent	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.
Dependent	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.
Dependent	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.
Dependent	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.	Additional Applicants All additional applicants must be a dependent of the Head of Household (HOH) and must reside in the household. Birth Date is required.

5

Do you have additional dependents to add? 

 *

Do you have additional dependents to add? (Select an Answer) Yes No

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