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Tuition Assistance Application
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What program are you applying for?
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Summer Camp
School Year
Children(s) Name
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First
Last
Parent/Guardian Name
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First
Last
Phone
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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…)
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Other sources of income: (include inheritances, gifts from relatives and friends…)
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Current household monthly expenses:
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Unusual circumstances you would like us to consider:
Amount of assistance you are requesting:
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In order for your application to be considered, you must submit a signed copy of your last year’s IRS tax return along with this application.
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Click or drag a file to this area to upload.
Submit