Spring 2020 Mosaic Scholarship Application
Please fill out scholarship application for Spring 2020 school semester to start your process (Please feel free to reach out to Mosaic for any confusion/concern). Applications are due for the 1st round of consideration by Wednesday November 27th. Mosaic accepts application on a rolling basis, however we cannot guarantee spots after the deadline.
Child's First Name
Child's Last Name
Child's Grade as of Spring 2020
Parent/Caregiver's first name:
Parent/Caregiver's last name:
Relationship to Child
Parent/Caregiver contact phone number:
I need Mosaic for the following (Mosaic typically awards scholarships for 1 or 2 days per week):
Specific day/s for aftercare
The day/s I need Mosaic aftercare:
The enrichment categories that best fit my child's interest (click as many that apply, there is no guarantee that your child will be placed in class):
Visual Arts (painting, drawing)
Healthy Lifestyle (cooking, gardening, yoga)
STEAM Activities (robotics, engineering, science)
Did you receive a scholarship spot for Fall 19 semester?
How many dependents are in your household?
Do you qualify for DOE's free and reduced lunch program (NYC DOE family income inquiry form)?
I am not sure (Please see Ms. Eubanks if you choose this answer)
What percent scholarship are you applying for?
Are you able to provide the 1st page of your tax income form (personal information redacted ) if asked for proof of income?
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This form was created inside of PS 20 PTA.