Financial Aid Application

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Email *

Your name *

Is this application for a child? *

Yes

What is the child's name?

What is your relationship to the child?

Full address *

Telephone number *

What organizations or programs are you currently receiving aid from? *

North Hills Community Outreach

Crisis Center North

North Hills Food Bank

Hearth

EBT

Medicaid

CHIP

Other

Required

What class or workshop(s) are you interested in attending? This is the title (name) of the class as it appears on the website or in the catalog. *

If you are applying to attend 2 workshops, what is the 2nd workshop you are interested in attending? This is the title (name) of the class as it appears on the website or in the catalog.

If your 1st choice of a class or workshop is full, do you have a 2nd choice we could enroll you in?

When does your 1st choice class or workshop(s) begin? *

YYYY

Have you previously received financial aid from NHAC? *

Yes

Is there anything else you would like to add to your application that you feel is important for the committee to know?

Submit

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