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MyCourtCase
Scholarship/Financial Assistance Application
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Section 1: Personal Information
*
First
Last
Email
*
Country of Residence
*
United States
Canada
Mexico
United Kingdom
Australia
Other
Occupation
*
Financial: Household Income
*
Less than $20,000
$20,000 – $40,000
$40,000 – $60,000
$60,000 – $80,000
More than $80,000
Prefer not to disclose
How many people are financially dependent on you?
*
Just me
+1
+2
+3
+4 or more
Current Financial Obligations:
*
Rent/Mortgage
Medical Expenses
Student Loans
Childcare or family care expenses
Credit card or other loan payments
Other Please describe below
Other financial obligations
Do you receive any form of government financial assistance or benefits?
*
Yes/No. If Yes, please specify.
Software Usage and Need: Why do you need financial assistance to access our software?
*
Explain your current situation and why receiving financial assistance would be beneficial.
How do you plan to use MyCourtCase?
*
Briefly explain how using the software would impact your ability to navigate your legal dispute.
How often do you plan on using the software?
*
Daily
Several times a week
Once a week
Occcasionally
Is there any other information you would like us to consider when evaluating your application?
Optional
are plan financial
Declaration: Certification of Truthfullness
*
I certify that the information provided in this application is true and accurate to the best of my knowledge.
Agreement to Terms
*
I understand that if selected for financial assistance, I may be required to provide additional documentation to verify my eligibility.
Submit
