Driver's Ed Scholarship Request Form

Scholarship Request: Drivers Education
Wayzata Community Ed is able to provide scholarships for Drivers Education participants.

You will be asked to choose the amount needed in the form. The choices that will appear on the form are:
- $295.00 for the class only
- $185.00 for the behind the wheel sessions
- $450.00 for both
Student's Name

First NameLast Name
Student's Birthdate

MonthDayYear
Student's ISD284 Email Address
example@example.com
Parent/Guardian's Name

First NameLast Name
Parent/Guardian's Email Address
example@example.com
If you do not meet, or are unsure if you meet the financial eligibility, but have an immediate need for assistance, please explain.
Amount Requested
Thank you for completing this form. The time to process a scholarship request is approximately two weeks.

Please submit the scholarship request only once. You will be contacted once your scholarship is approved.
Should be Empty:

Scholarship Request: Drivers Education