2016 FINANCIAL SUPPORT APPLICATION
Thank you for your interest in Spiral: the Summer Permaculture Intensive hosted at Dig In Farm, LLC. It is part of our mission to be accessible to young women of all financial backgrounds. Our ability to give financial aid is a critical part of ensuring the success of our program. Applying for financial aid will neither increase nor decrease your chances of getting into the program. We encourage you to ask for assistance if you need it and pay what you can.

You may be contacted for a follow-up phone interview.

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Name of parent/guardian filling out this form *
Name of participant *
What is the total annual income of your family? *
Combined income from all earners.
Are you a single income family? *
Does the child for whom you are applying receive child support? *
If so, please also list the monthly amount of support received.
Does your child attend private school? *
 If so, please list annual tuition.
Does your family own more than one home? *
How many dependents are in your family?   *
Do you participate in the free lunch program at your school? *
How much do you believe you can you pay toward tuition? *
Other information you think we should know?
Optional, 150 words or less.
In addition to this form, Dig In Farm must receive a copy of your 2015 tax return. Please make a copy and mail to 35 Leverett Road, Shutesbury MA 01072. We need to receive this form with your application before April 1st in order for you to be considered for financial support.
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This digital signature is legally binding and verifies that all information contained in this form is true.
Date *
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