WEST HARTFORD PUBLIC SCHOOLS                    
                                               Financial aid is available for all families with need
                                             Request for Summer High School Financial Aid - 2023
                                               Application deadline is Friday, June 9 by 3:00 pm

1.) Complete all questions on this form.
2.) Answering the final question of this form will serve as your signature verifying this information you have included.  

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Student Name (Last, First) *
School Attended during the 22-23 school year? *
If you are new to West Hartford Public Schools, please select "Other" and specify which school you previously attended in the comment section.
Current Grade *
School Counselor's Name *
Home Address *
Parent/Guardian Name(s) (Last Name, First Name) *
Parent/Guardian Email Address(es) *
Parent/Guardian Phone Number (s) *
Student's WHPS Email Address *
Financial Aid priority is given to students in the free or reduced lunch program.  Please check the box below to indicate your status *
Required
Purpose for taking summer school coursework *
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