Scholarship Application

Illinois Foster/Adoptive Parent Association

Please Print Clearly or Type.

Date:___________________ Applicant Birthdate:__________________________

Name:_______________________________________________________________

Address:_____________________________________________________________

City:_______________________________ State:_______ Zip Code:___________

County:______________________________ E-mail:________________________

Phone: ( ) __________ - ____________

IFAPA Member Name:___________________________________________________

Relationship to IFAPA Member: □ Birth □ Adoption □ Guardianship □ Foster

Type of Application: □ College/University □ Vocational/Trade School

School Applied To	Status of Application (circle)
	Pending	Accepted	Not Accepted
	Pending	Accepted	Not Accepted
	Pending	Accepted	Not Accepted

Return completed application packet by April 15^th to:

IFAPA

PO Box 729

Mundelein IL 60060

Attn: Scholarship Committee

(Any questions? Contact 847-949-8009)