Youth Financial Assistance Application 

Please complete by October 4, 2024. 

	Name
	School
	Leadership Buffalo will offer a limited number of partial scholarships. Why do you believe you should be considered for a scholarship?
	How you plan to fund the remaining program cost?
	What is the number of people in your household?
	Gross family income
	N    Below $19,000  $20,000 - $29,000  $30,000 - $39,000  $40,000 - $49,000  $50,000 - $59,000   $60,000 - $75,000  $75,000+

Security Code...

Type Code Above Into This Box

Processing...