Tuition Assistance Application

What program are you applying for? *

School Year
Summer Camp (note very limited assistance available for summer)

Children(s) Name *

First

Last

Parent/Guardian Name *

First

Last

Phone *

Parent/Guardian Name

First

Last

Phone

Please list everyone in your home for whom you are financially responsible:

Current household monthly net income from all sources: (include wages, child support, investment income…) *

Other sources of income: (include inheritances, gifts from relatives and friends…) *

Current household monthly expenses: *

Unusual circumstances you would like us to consider:

Amount of assistance you are requesting per month: *

In order for your application to be considered, you must submit a signed copy of your most recent IRS tax return along with this application. *

Drag & Drop Files, Choose Files to Upload

We ask that families wanting assistance to first apply for Working Connections, the Child Care Assistance Program or Best Starts for Kids to see if their family qualifies. If they do not qualify, new families and currently enrolled families may apply for tuition assistance from Central Branch when they submit their Tuition Assistance Application. What Subsidy Program(s) have you applied for?

Child Care Assistance Program
Working Connections
Best Starts for Kids

Have you heard back from the programs you applied to?

Yes
No

Did you qualify?

Yes
No

Would you like help from Central Branch to apply to these programs? If yes, we will reach out!

Yes
No

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