Pima County Casa

CSCPC Application for Higher Education Funds

How to Fill Out CASA Forms – 101

CASA SUPPORT COUNCIL FOR PIMA COUNTY, INC.

PLEASE READ THE “ELIGIBILITY” AND “FUNDING GUIDELINES” PRIOR TO COMPLETING THE APPLICATION
* Click Submit below when finished with the form.

  • (Last, First, Middle)
  • MM slash DD slash YYYY
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  • EDUCATION STATUS

  • Name of SchoolCity/StateDid you graduate? (y/n)If No, # of years left to graduateIf Yes, date of Graduation
  • Name of SchoolCity/StateDid you graduate? (y/n)If No, # of years left to graduateIf Yes, date of Graduation
  • Name of SchoolCity/StateDid you graduate? (y/n)If No, # of years left to graduateIf Yes, date of Graduation
  • PLEASE READ CAREFULLY & SIGN THAT YOU UNDERSTAND & ACCEPT THIS INFORMATION

    The information I provided is true and accurate to the best of my knowledge. I understand that all information may be confirmed by the CSCPC. I understand that I must also submit the “Release of Information” form with this application.
  • MM slash DD slash YYYY
  • Thank you for submitting your application. If you have any questions about the application or the CSCPC Higher Education Funding process, please contact the Education Committee at [email protected].