Scholarship Request Form

The Boys & Girls Clubs of Topeka scholarship agreement program offers assistance to families who need help accessing our services and who have demonstrated the most need for assistance. This agreement is based on your ability to complete an agreed upon payment plan. Your payment plan will be discussed with, and agreed to, by our Membership Coordinator and our Chief financial officer. Please complete the following information and our Membership Coordinator will contact you. 

Please answer Each of the following questions. Omissions can result in the application be denied.