Mounds View Community Education- Youth Financial Assistance/Scholarship Request Form
Please complete the form below to be considered for financial assistant/scholarship for a 2018-2019 Youth Community Education Program. To be considered for financial assistance you must live in Mounds View School District or be open enrolled.

There are 2 ways to qualify for Financial assistance:
1. Your student has applied and is currently receiving Free and/or reduced lunch.
2. Request a scholarship due to special circumstances.

Please note financial assistant is not available for all programs, please call 651-621-6020 to verify availability.

Once your form is submitted a member of the Community Education team will notify you if it has been approved and help you complete registration for the students program.

Please call 651-621-6020 with any Questions.

Student's name: *
Your answer
Student's School: *
Your answer
Students Classroom/Homeroom Teacher: *
Your answer
Student's Current Grade *
Parent/Guardian Name: *
Your answer
Parent/Guardian Email: *
Your answer
Home Phone: *
Your answer
Parent/Guardian Work/Cell Phone: *
Your answer
Street Address: *
Your answer
City: *
Your answer
Zip *
Your answer
Please list the title of the class/activity the youth participant would like to attend: *
Your answer
What is the Course/Activity code? Example S19-orch-6ch *
Your answer
Activity codes can be found in Community Ed catalogs or online at https://moundsview.ce.eleyo.com
Does this youth participant qualify for Free/Reduced Lunch? *
If you are requesting financial aid due to a special circumstance please indicate needs below:
Your answer
This participant will: *
Before school session only: Will the participant eat breakfast after this activity?
Any addition participant information (Medical, allergy, accommodation needs, Etc)
Your answer
By typing your name below you are confirming that the information you provided is true and correct to the best of your ability. *
Your answer
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