JMS Hope Fund Application
Please complete this Google Form to request assistance with payment for events offered at Jefferson Middle School.  A member of the Hope Fund team will reach out to you regarding the application.

Mrs. Michalowicz
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Student Name *
Parent/Guardian Name *
Address *
Please check your child's lunch eligibility *
Required
Describe the activity for which you wish assistance *
Location and Date of the Activity *
Do you have another source of funding for this activity? *
Total cost of the activity *
Amount Requested *
Submit
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