Phoenix Center for the Arts Financial Aid Application
Please complete this form, including information on all household members & total monthly household income. PCA staff will contact you once the amount of financial aid has been calculated. For any questions, please email: info@phoenixcenterforthearts.org
Student #1 Name *
Your answer
Date of Birth *
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DD
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YYYY
Age *
Your answer
Student #2 Name
Your answer
Date of Birth
MM
/
DD
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YYYY
Age
Your answer
Student #3 Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone Number *
Your answer
Place of Employment *
Your answer
Monthly Income Amount (wages, salaries, tips, in $0.00) *
Your answer
Untaxed Monthly Income (Social Security, Food Stamps, Child Support, Disability, in $0.00) *
Your answer
Total Monthly Gross Income *
Your answer
Total # of Household Members *
Your answer
Additional Info: feel free to share any other pertinent or familial information that you find to be helpful or important. Thank you!
Your answer
By signing my initials below, I affirm that all information above is true and correct: *
Your answer
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This form was created inside of Phoenix Center for the Arts, Inc.