Newton Public Schools Financial Assistance Form
It is the intention of the Newton Public Schools that no student is denied participation in school-sponsored activities and bus transportation due to inability to pay. Waivers are based on income and family size as well as special circumstances or temporary hardships. Applications for financial assistance are confidential.

Additional information may be requested to confirm income provided on this application. Requested documents may include but are not limited to:

*Most Recent 1040 Tax Return Forms
*Pay Stubs
*Child Support or Alimony pages from divorce decree
*Unemployment Information
*Benefit information from Transitional Assistance/SNAP

If you have questions or need assistance completing this form please call 617-559-9025
Email *
Parent/Guardian First & Last Name *
Home Phone # *
Home Address *
Please include #, Street, City, & Zip Code
List student(s) for whom you are requesting a fee waiver: *
Please include First Name, Last Name
Students School & Grade *
Are any students in your household approved for Free or Reduced meals? *
Total Household Members: *
Total number of persons residing in your household including all children and adults
Total Yearly Gross Household Income (Line 8b on Tax Form 1040) *
Please select all activities you are applying for: *
Required
Print Name *
I certify that all information is a true and accurate representation of family financial income and support. I understand the Newton Public Schools may request additional information to confirm income.
Submit
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