In Your Shoes
Funding Sports & Activities since 2011

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Scholarship Application

IYS Scholarship Application

If you meet the eligibility criteria and would like to apply for the In Your Shoes Youth Sports and Activity Scholarship, please complete the following online form and click SUBMIT.  Please allow up to one (1) week for a response.  To check on the status of your application, please call 570-367-0389 or email

Student Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
Zip Code: (5 digits)
Parent Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Financial Information
Family Size:
Household Income: (USD)
Activity Information
Registration Fee: (USD)
Additional Fees: (USD)
Total Request: (USD if applicable)
Briefly state below why you are applying for this scholarship.
I understand that  In Your Shoes will need to verify
my income and eligibility and that the information provided here is true and accurate.

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