Metrorock Vermont Financial Aid Membership Form

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A limited number of memberships are eligible for financial assistance. Submissions are reviewed on an ongoing basis and awarded as spots are available.

Email *

First + Last Name *

Which membership are you applying for?*

TIER ONE - $50/month

- I struggle to pay rent

- I struggle to afford groceries

- I use an EBT/SNAP card

- I am an immigrant/first generation

- I am unemployed, not by choice

Multiple people are dependent on my income

TIER TWO - $75/month

- I do not have expendable income for entertainment/eating out

- I struggle to pay off loans/debt

- I do not have a financial safety net

- I do not have familial support due to my identity

- I am underemployed, not by choice

Tier 1

Tier 2

Is there anything you would like us to know about your situation?

Send me a copy of my responses.

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