Scholarship Application
The Lake School is committed to helping families pay for a quality preschool education. Within the confines of a tight budget, we try to provide as much financial aid as possible to families who demonstrate financial need as assessed by the School's Executive Board Scholarship Committee. Through our annual campaign and operating funds, we are able to raise money to assist a few families each year.

Scholarship Qualifications
Financial Aid is usually awarded to families whose income ranges between $25,000 and $90,000 gross annually. We also take into account family size, assets and other obligations facing the family and more.

Please complete this form within 2 weeks of receiving it and no later than May 30th and also submit an electronic or hard copy of your most recent federal tax return.

Applying does not guarantee acceptance of scholarship.

Email address
Personal Information
Name of Student
Your answer
Name Of Parents
Your answer
Telephone I
Your answer
Address I
Your answer
Email I
Your answer
Name Of Parent(s) II
Your answer
Telephone II
Your answer
Email II
Your answer
Address II (if different)
Your answer
Income information
Employment Parent I
Occupation
Your answer
Name and address of employer
Your answer
Gross Monthly Pay $
Your answer
Net Monthly Pay $
Your answer
Employment Parent II
Occupation
Your answer
Name and address of employer
Your answer
Gross Monthly Pay $
Your answer
Net Monthly Pay $
Your answer
If either parent is not working, complete the name of your last employer, Date last employed
Your answer
Other Sources of Income and Amounts
Your answer
If you receive public assistance (AFCD, Social Security, SSI, disability etc) please state the type and the amount per month $
Your answer
Expenses
Number of dependents
Your answer
Rent or Mortgage Monthly Payment $
Your answer
Next two largest monthly expenses
Your answer
Why are you applying for financial aid at this time?
Your answer
I declare under penalty of perjury that the above figures and information is true and correct
MM
/
DD
/
YYYY
Name and signature
Your answer
Submit
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