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.

2. With the completed application, please include:

   • 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.

   • A copy of your entire federal tax return for the most recent tax year. Only those individuals included on the tax return are eligible to apply for scholarship funds (a tax transcript is not applicable).

   • Copies of the two most recent employment check stubs, less than 30 days old and for each working adult listed on the tax return if paid every two weeks; copies of the two most recent employment stubs, less than 60 days old for each working adult listed on the tax return if paid once a month.

   • A copy of the W-2 form for each working adult listed on the tax return. If self-employed, please provide 1099 or Schedule C.

   • A copy of proof of any other income/support received. Please provide most recent award letter indicating monthly disbursement for child support, alimony, cash assistance, Social Security, disability, food assistance, child care assistance, etc. Medi-Cal is not applicable.

   • If you are unemployed, please provide the most recent unemployment benefit letter indicating your weekly unemployment benefits.

   • Note: Further information may be required to complete your application. Incomplete applications or those missing any component listed above, may result in denial of the scholarship application.

3. Please allow a minimum of two weeks for your application to be processed. A letter will be emailed 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 to 59 years of age. A 10% co-payment is required on all scholarship eligible registrations per course, per adult;

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

   • A maximum of $200, per adult 18 to 59 years of age with a disability, and those age 60 years and older, with no co-payment due;

   • 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

     • TRIPS services (for program-eligible participants)

     • And Meals on Wheels (for qualified individuals under the age of 60)

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

     • Co-payments

     • Withdrawal fees

     • Athletic leagues, tournaments, and reservations

     • Private lessons/instructions

     • Birthday parties

     • Point-of-sale merchandise transactions

     • Material or supply fees

     • 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.

List Your Family Members

Please list all members of your family included on your tax return, including yourself. 

Upload Your Documents

The following documents are used to verify income in relation to scholarship eligibility. Please upload any and/or all of the following for further scholarship evaluation. After submission, you may be asked for additional documentation to verify eligibility.

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

By signing below, you certify that the above statements are true.

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, all information provided 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, businesses or individuals.