Welcome Center Scholarship Application Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Scholarships are prioritized for households with at least 1 member having an intellectual/developmental disability. Is at least one member of your household an adult who has an intellectual/developmental disability? Yes No How would a scholarship support your family's participation at the L'Arche Welcome Center?*Which type of activities would you be interested in participating in or learning about (Select as many as apply)? Music Fitness Cooking Art Games Nature Budget My Money Operate Appliances Housework Other We offer Welcome Center classes at $20 each and socials at $15/person or $30/family each.Select the fee reduction you need:*Family rates also available.20% – You pay $16 for classes or $12 for socials.40% – You pay $12 for classes or $9 for socials.60% – You pay $8 for classes or $6 for socials.80% – You pay $4 for classes or $3 for socials.Date Submitted* MM slash DD slash YYYY Submitted by:*We will review your scholarship application and contact you within a week with your approved scholarship amount. No payment is due at this time.