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 *
Your answer
Child's Last Name *
Your answer
Child's Grade as of Spring 2020 *
Parent/Caregiver's email
Your answer
Parent/Caregiver's first name: *
Your answer
Parent/Caregiver's last name: *
Your answer
Relationship to Child *
Your answer
Parent/Caregiver contact phone number: *
Your answer
I need Mosaic for the following (Mosaic typically awards scholarships for 1 or 2 days per week):
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):
Did you receive a scholarship spot for Fall 19 semester? *
How many dependents are in your household?
Your answer
Do you qualify for DOE's free and reduced lunch program (NYC DOE family income inquiry form)? *
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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