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A LearningCenterforAstrologicalStudies FinancialGrantApplicationForm P.O.Box1264•OkemosMI48805 517-664-2665 IMPORTANT:PLEASEREADCAREFULLY ThispurposeofthisgrantapplicationistoapplyforaFinancialGrantamountingtoone/half(1/2)thecostof aLearningCenterforAstrologicalStudiescourse.AllLearningCenterforAstrologicalStudies(LCAS) Coursesaregradedonapass/failbasis.Itisaconditionofthisgrantthatifawardedtoyouthatyoucomplete andpassthecourse,orifyoufailthecourse,reimbursementofthegrantmoneyisrequired.However,if unusualcircumstanceshavewarrantedasatisfactoryexplanationofwhytheclinicwasnotcompleted,orwhy theclinicwasfailed,theLCASBoardofDirector’smayrulethatthegrantmoniesdonotneedtobe reimbursed. PLEASENOTE:ALLINFORMATIONONTHISAPPLICATIONFORMISCONSIDERED CONFIDENTIALBYTHELEARNINGCENTERFORASTROLOGICALSTUDIES. Date:__________________ Name:____________________________________________Phone:_______________________________ StreetAddress:___________________________________________________________________________ City:______________________________State:_______________________ZipCode:________________ E-mail:__________________________________________________________________________________ WhatLearningCenterofAstrologyCourseareyouapplyingfor? _________________________________________________________________________________________ Term:_______________________________Instructor:__________________________________________ ASTROLOGYBACKGROUD 1.Haveyoutakenastrologyclassespreviously?_________Yes__________No Ifyes,where?__________________________________________________________________________ Pleasedescribetheextentofyourastrologicalstudiescoursework_________________________________ ________________________________________________________________________________________ __________________________________________________________________________________________________ ________________________________________________________________________________ Ifno,Haveyoustudiedastrologyonyourown?___________Yes___________No (continuedonback) LearningCenterforAstrologicalStudies FinancialGrantApplicationFormcontinued... Howlonghaveyoubeenstudying?__________________________________________________________ Whatlevel(beginning,intermediate,advanced)doyouconsideryourselftopresentlybe:_________________ Doyoucurrentlyinterpretchartsforfriends,family,orclients?_____________________________________ FINANCIALINFORMATION 1.Youroccupation:______________________________________________________________________ 2.Youryearlyincome:$______________________3.No.ofDependents:_________________________ 4.Doyoucurrentlysharelivingexpenseswithsomeoneelse?_______Yes_______No 5.Ifyes,whatisyourjointyearlyincome:$______________________ 6.Pleasegiveusanyadditionalinformationyoufeelisimportantforustoconsiderinregardstoyour financialsituation. 7.WhatdoyouhopetoachievewithyourstudiesinAstrology? PLEASENOTE:IfyouwerepreviouslyastudentoftheLearningCenterforAstrologicalStudies,theLCAS BoardofDirectorshastherighttorequestareviewofyourrecordsinconjunctionwiththisgrantapplication toreviewpastperformance CompletionofthisgrantformdoesnotconstituteapprovalofthefinancialgrantrequestbytheLCASBoard. Ihavereadalloftheaboveinformationandagreetothetermsofthegrantifapproved: Signature:____________________________________________Date:_____________________________ MAILTO:LCAS,P.O.Box1264,Okemos,MI48805 ForLCASBoarduseonly: Grantapproved:____________Yes_____________No Date:_______________________ Signature,President,LCAS____________________________________________