Tuition Assistance Form – General

Tuition Assistance Form

Based on your family size and annual income, you may be eligible for a discount of somewhere between 30%-85% off of class tuition. Discounts are good for the individual/entire family for one year. Depending on Ah Haa’s annual financial budget, Ah Haa may need to impose an annual cap per family on scholarship funding. Families can reapply for scholarship funding annually. In order for us to determine your eligibility, please answer the questions below.

IMPORTANT: Please provide a copy of page one of your most recent tax return. BLACK OUT YOUR SOCIAL SECURITY NUMBERS. Instructions on submitting your tax form are included in the application below.

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 Keri Bond.

Contact Information

Applicant Name(s) *

Mailing Address *

Country

City

State

Zip code

Email *

Phone *

Please enter your complete phone number, including 1+area code+seven digit number in this format: 1-XXX-XXX-XXXX

Household Information

Annual household income? *

Number of adults and children in your household? *

Where do the adults in the household work? *

(Indicate how many hours per week are worked per parent.)

Do you receive financial aid from any other organizations? For what? Which organizations? *

Do you qualify for free or reduced lunch in the Telluride School District? *

I will provide a copy of page 1 of my most recently submitted tax return. Please be sure to black out your social security #s. Note: If submitting your tax return is problematic, in some cases we are able to use alternative methods to verify need. *

The form can be emailed to keri@ahhaa.org, mailed to po box 1590, Telluride, CO 81435 or delivered to 300 South Townsend Street, Telluride. APPLICATIONS WILL NOT BE REVIEWED UNTIL THE TAX FORM IS RECEIVED.

Yes

I certify that to the best of my knowledge all information on this form is true and accurate *

The Ah Haa School is a nonprofit organization. Part of our mission is to ensure that no student is turned away from our classes for financial reasons. 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. Thank you!

Yes

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Tuition Assistance Form – General