Ah Haa School for the ArtsTuition Assistance Form - General

Tuition assistance is available on a limited basis per course. Due to the overwhelming response to this program, we are only able to offer a maximum of $500 in assistance per student (or $750 per family), each year. In order for us to make a decision based on our guidelines, please answer the questions below.

IMPORTANT: Please black out your social security number and your last name from the tax form you attach to this application. The document you upload will be searchable for 24 hours and we don’t want to compromise your personal information.

Fields with a red astrix (*) are required. If you have trouble submitting the form, make sure all required fields are completed, look for the error text in red. If you have questions about this form, please email Karen Overn.

Contact Information

First Name *
Last Name *
Student's Full Name (If different than above.)
Student's Age
Student's Birthday *
Mailing Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone *Please enter your complete phone number, including 1+area code+seven digit number in this format: 1-XXX-XXX-XXXX

Class Information

Class Title *
Class Dates *
Instructor *
Tuition *
Materials *
Total *
How much can you pay for this class? *A 15% minimum to cover the cost of materials is required.

Financial Information

How will this course benefit you personally and/or professionally? *
Please indicate your reasons for the necessity of tuition assistance. *
(unemployed, single parent, fixed income, disability, etc.)
Do you own your own house or other property?
Please list all properties.
Annual household income? *
Number of adults in your household? *
Number of children in your household? *
Do you receive financial aid from any other organizations? For what? Which organizations? *
Please attach a copy of page 1 of your most recently submitted tax return. *IMPORTANT: Please black out your social security number and your last name from the tax form you attach to this application. The document you upload will be searchable for 24 hours and we don't want to compromise your personal information.
I certify that to the best of my knowledge all information on this form is true and accurate *
Our tuition assistance program is open to any child or adult in need. This program is based largely upon the honor system, please help us ensure it’s future by honestly and carefully filling out the application. We also ask that all recipients of tuition assistance handwrite a "Thank You" card upon completion of the class. These cards are given to donors who help make this program possible.Yes

Verification

Please enter any two digits with no spaces (Example: 12) *
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Tuition Assistance Form – General

Contact Information

Class Information

Financial Information

Verification

Ah Haa School for the Arts

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