After School Program Financial Aid Application
Limited financial assistance is available for After School Program participants with demonstrated financial and after school child care needs. Please answer all questions; incomplete applications will not be accepted. Once application is complete, income documents should be emailed to Nicky Wilson, Coordinator of Family Support Services at
Email address *
Custodial Parent or Legal Guardian Information
Name *
Relationship to Student *
Address *
City *
State *
Zip code *
Primary phone number *
Alternate phone number
Demonstrated Need for After School Program *
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