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Scholarship Office

ScholarshipOffice@cityofirvine.org

1 Civic Center Plaza Irvine, CA 92606

949-724-6455

Senior Services Scholarship Application

INSTRUCTIONS:

  1. Please fill out the Scholarship Application form completely.

    • Information provided to the City through this form will be uploaded securely and used only for the purposes of determining scholarship eligibility, as outlined below.

    • Seniors age 62 and older will not need to report income to qualify.

  2. With the completed application, please include:

    • Proof of age.

    • Proof of Irvine residency (most recent original gas or electric bill, less than 30 days old). No water bills, cable bills, phone bills, or school lunch letters will be accepted.

    • Note: Further information may be required to complete your application. Without the above information your application may be denied.

  3. Please allow a minimum of two weeks for your application to be processed. A letter will be mailed to the address listed on the application. The letter will inform you of your scholarship application status.

  4. If approved, only those individuals listed on the tax return are eligible for a scholarship. Scholarships are granted with the following term per scholarship year, per person.

    • A maximum of $200, per person 18 years and older. A 10% co-payment is required on all scholarship eligible registrations per course, per adult;

    • A maximum of $400, per person 17 years and younger. A 10% co-payment is required on all scholarship eligible registrations per course, per youth;

    • A maximum of $200, per adult with a disability 18-59;

    • A maximum of $200, per adult 60 and over;

    • A maximum of $400, per eligible adult 18-59, for Meals on Wheels;

    • A maximum of $400, per eligible adult 18 and over, for TRIPS program.

    • For purposes of the scholarship program, scholarship eligible programs and activities include:

      • City offered programs listed with a course identification number in the Irvine Activity Guide

      • After-School Community Park Programs

      • Irvine Fine Arts Center memberships

      • Senior Service computer lab and fitness center memberships

      • TRIPS services (for program-eligible participants)

      • And Meals on Wheels (for qualified non-seniors 59 younger)

    • For purposes of the scholarship program, scholarship eligible programs and activities DO NOT include:

      • Co-payments

      • Withdrawal fees

      • Sports leagues

      • Tournaments

      • Private lessons

      • Birthday parties

      • Point-of-sale merchandise transactions

      • Material or supply costs

      • Non-City memberships

    • Additional information:

      • Any course registration completed prior to scholarship activation date, may not be paid for with scholarship funds.

      • Scholarship funds are non-transferrable from year to year or person to person.

      • Scholarship approval does not guarantee class enrollment or that funds will be available at the time of registration.

  5. Upon scholarship approval, applicant must complete an orientation within 30 days of approval letter date. Orientation must be completed prior to scholarship award funding. If orientation is not completed, scholarship approval is voided and applicants must reapply.

  6. Scholarship awards take effect no sooner than one day past participant's previous scholarship year.

 

CLASS/ACTIVITY WITHDRAWAL POLICY:

Withdrawals will be administered in compliance with the Program Registration Withdrawal Guidelines detailed on the City of Irvine website at yourirvine.org. Withdrawal fees cannot be paid for from the scholarship account and must be paid for by participant. Recipient will not qualify for any additional scholarship funds until balance is paid in full.

 

ADDITIONAL INFORMATION:

Scholarship funding is determined each fiscal year by the Irvine City Council, and is administered by the City of Irvine Community Services Department.

No fax or email applications will be accepted. For questions, please call 949-724-6455.

 

Click the "Next" button to acknowledge and continue.

Head of Household

Are you 62 years of age or older?

Date of Birth *

How did you hear about the scholarship program?


Household Members

Please list all members of your household and their relationship to you.

Are there additional members of your household?

Do you have a second member of your household?

Do you have a third member of your household?

Do you have a fourth member of your household?

Do you have a fifth family member of your household?

Do you have a sixth member of your household?

Do you have a seventh member of your household?

Do you have a eighth member of your household?

Do you have a ninth member of your household?

Do you have a tenth member of your household?

Upload Documents

The following document is used to verify your age in relation to scholarship eligibility. After submission, you may be asked for additional documentation to verify eligibility.

Proof of Age: Scan or take a photo of your driver's license, ID card, or birth certificate to verify your name and date of birth.

Click Here to Upload

Proof of Irvine residency: Most recent original gas or electric bill, less than 30 days old. No water bills, cable bills, phone bills, or school lunch letters will be accepted.

Click Here to Upload

Note: Further information may be required to complete your application. Without the above information your application may be denied. 

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The City of Irvine takes your privacy seriously. This form asks you to provide the City with certain personal information. Such information is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence regarding the subject matter of this form. Pursuant to Measure S, an initiative ordinance passed by City voters in 2008, the personal information noted by an asterisk (*) on this form will be kept confidential. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, business, or individuals.