The Vera Project Tuition Assistance Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in attending a class with The Vera Project! Please complete as many of the questions below so that we may best determine your eligibility for Tuition Assistance. Due to high demand, we recommend completing the form at least two weeks prior to your intended class date.

Tuition assistance is granted to 1-2 people per class. Applications are typically reviewed first-come first-serve, however priority is given to: youth aged 14-24; Black/Indigenous/people of color; LGBTQIA2S people; and people with disabilities. Tuition assistance only covers the costs of the class and does not cover transportation or add-on supply costs. If you are eligible, you will receive an email confirming your tuition assistance amount.

**NOTE: The Vera Project cannot retroactively apply tuition assistance to any tickets you've already purchased. If you are eligible for tuition assistance, you can apply the tuition waiver toward another class at VERA, but we cannot refund class tickets.**

PRIVACY NOTICE: Individual information you provide on this form is private. Aggregate data (trends and averages of all responses) may be used for internal assessment and applying for grants to support future tuition assistance opportunities.

If you have questions about the tuition assistance form or program, please contact Education Manager Levin Betron at levin@theveraproject.org.

Email *

Your name: *

Which class would you like to attend? *

Which class date(s) would you like to attend? *

Visit https://seetickets.us/theveraproject for the list of all upcoming events and class dates. Please note that your eligibility does NOT guarantee enrollment in your first choice class date.

What is your age? *

What is your home address zip code? *

If you do not have a permanent address, please use the zip code that best describes where you live most of the time.

What is your average annual household income? *

Household income = combined income of contributing family members within your household over the entire year. If you don't have an exact number, please estimate to the best of your ability.

0 - $22,999

$23, 000 - $33,999

$34,000 - $43,999

$44,000 - $53,999

$54,000 and above

Other:

Required

Optional: please check the box(es) that describe your racial identity.

Black, African American and/or African

Latine, Latino/a/x, non-white Hispanic

Asian (South Asian, Middle Eastern, East Asian, etc.)

Native Hawaiian and/or Pacific Islander

Indigenous and/or American Indian and/or Alaska Native

White

Mixed race / Bi-racial / Multi-racial

Other:

Optional: please check the box(es) that describe your gender identity.

Woman

Man

Transgender

Nonbinary

Genderfluid

Two-Spirit

Agender

Other:

Optional: Has your financial situation been significantly impacted by the COVID-19 health crisis? For example, have you experienced unemployment, reduced employment/payment, or loss of income due to economic or health reasons specific to COVID-19?

Yes

Other:

Clear selection

Please include additional information that may be helpful for us to know:

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of The Vera Project. Report Abuse

Forms