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CALM Membership Financial Need Scholarship Application

CALM MEMBERSHIP

Financial Need Scholarship Application

 

The California Association of Licensed Midwives (CALM) is pleased to offer a limited number of financial need scholarships, as funds are available.  Such scholarships are awarded to applicants who can provide eligibility of Children’s Health Insurance Program (CHIP), Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), or Medi-Cal services and who complete the application by the stated deadline.

All applications must be received by CALM by December 15, 2018. 

The application has two parts that must be included to be considered for scholarship:

  1. Proof of eligibility for services (SNAP card, Medi-Cal card, etc.), or a copy of page 1 and 2 of your most recent federal tax return (1040)
  2. Application form

Applications may be submitted by:

  1. email to: treasurer@calmidwives.org or
  2. Snail mail: CALM, PO Box 104 San Leandro, CA 94577

 

CALM Membership Financial Scholarship Application 2018

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Please attach a photo, scan, or PDF of your proof of eligibility for services (SNAP card, Medi-Cal card, etc.), or a copy of page 1 and 2 of your most recent federal tax return (1040)
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 4.
    • By entering your name here, you are signing this form, certifying that the information above is accurate.

     

    PO Box 104 San Leandro, CA 94577 phone (559)492-0829 fax: (559) 642-6220