Sebastopol Community Cultural Center

"Enriching the Spirit of Community!"

Need-Based Youth Scholarship Form

Thank you for your interest in the Sebastopol Community Cultural Center's youth activities and workshops for kids under 18 years old. Funds are available for any families that need it, made possibly by generous donors in our community. Your community wants all our children to have access to enrichment programs and services, regardless of ability to pay. All information you provide is confidential. Only one request per student (please read eligibility requirements). Please submit at least four days prior to start date.

If you have any questions please email us: sccc@seb.org 

Parent or Guardian Information

Financial Information

YES
NO
  • Social Security Supplemental or Disability Income
  • Public assistance through the Sonoma County Human Services Department, i.e., Temporary Assistance for Needy Families (TANF) or Food Stamps
  • Free lunch assistance through the local schools
  • Medi-Cal or Medicare Benefits Card
Yes, I Understand

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