Scholarship Form — Zahara Veterans Network

PROGRAM SCHOLARSHIPS

Zahara Veterans Network, Inc. understands that women veterans may experience hardships that may prevent them from making financial contributions. If you are in financial distress and are unable to make a payment, please complete the form below:

Name

First Name

Last Name

Phone

(###)

###

####

Item the Waiver is Being Requested For

The Amount Requested to Be Waived

Please explain to us your reason for the waiver request.

PROGRAM SCHOLARSHIPS

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