Financial Aid Student Information: Student #1 Name(required) Student #2 Name Student #3 Name Class Package for 20 weeks Individual – $518 Family – $885 Art / Writing Groups- $300 Weekly Teacher Check In- $900 Assistance Requested Parent Information Household #1: Monthly Income after Taxes: Number of People dependent on Income:Adults Infants 0-2 Preschoolers (3-4) School Age (5-12) Teens (13-19) In addition please consider the following special circumstances: First time student Disabled member(s) of family Ongoing medical expenses College or other tuition expenses Other special circumstances: Explain all special circumstances: Household #2: If child is supported by two households, please complete below: Monthly Income after Taxes: Number of People dependent on Income Adults Number of People dependent on Income:Adults Infants 0-2 Preschoolers (3-4) School Age (5-12) Teens (13-19) In addition please consider the following special circumstances: First time student Disabled member(s) of family Ongoing medical expenses College or other tuition expenses Other special circumstances: Explain all special circumstances: The information I have provided is accurate. I understand the Scholarship Committee may require proof of income. Parent / Guardian #1 Electronic Signature Date Parent / Guardian #2 Electronic Signature Date Submit Form Share this:TwitterFacebookLike this:Like Loading...