SCHOLARSHIP APPLICATION FOR BINKLEY PRESCHOOL by yaofenjin

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                          SCHOLARSHIP APPLICATION FOR BINKLEY PRESCHOOL
                                                        September 2008 - May 2009
                                   Be sure to complete both pages of this scholarship application
                                                         GENERAL INFORMATION

  Child's Name:                                                                                        Date of Birth:

  Check your FIRST choice:                        2's MWF               2's T/TH              3's MWF                 3's T/TH           4's ALL WEEK
  Check your SECOND choice:                             2's MWF               2's T/TH              3's MWF              3's T/TH        4's ALL WEEK

  Home Address:
                                    Street                                                   City                                   NC          Zip

  Home Phone:                                                                        Cell Phone:

  Family's Email:

  Father/Guardian:                                                              Occupation:

  Place of Business:                                                   Business Phone:                                    Cell Phone:

  Mother/Guardian:                                                              Occupation:

  Place of Business:                                                    Business Phone:                                   Cell Phone:

  Parent's Maritial Status:             Married                Separated                  Divorced                  Single

  Siblings                                                          Age                                    name of School




  Others living with family
  Is your child been enrolled in any school currently?                  Yes          No   If yes, where?
  Can you provide or arrange to and from Binkley?                    Yes        No

  Did you submit an application to Preschool during the registration period in January?                            Yes       No
                                                     SUBMISSION PROCESS
  This application must include two years of financial information on the other page and a copy of the most recent tax return
  filed with thw Internal Revenue Service. Incomplete applications will not be processed.
  Scholarships will be awarded for a one-year period. You must submit a new application each year.
  ALL INFORMATION SUPPLIED WITH THIS APPLICATION IS CONFIDENTIAL AND WILL ONLY BE USED BY THE SCHOLARSHIP
  COMMITTEE FOR SELECTION PURPOSES.
  Awards are made in late February and all aplicants will be notified promptly. If you have any questions, please
  visit our website at www.binkleypreschool.org
    Binkley Preschool            1712 Willow Drive, Chapel Hill, NC 27514                 968-1427                www.binkleypreschool.org
For office use only:   Date received                    Awarded:               Denied:                Ltr sent:             Check #:
                       Amount:               tuition$              reg fee$               supply$
                  SCHOLARSHIP APPLICATION FOR BINKLEY PRESCHOOL
                                         September 2008 - May 2009
                                    TWO YEARS OF FINANCIAL INFORMATION
Child's Name:                                                                   Date of Birth:

Monthly Income                                      Year 2006                            Year 2007
Father's salary (before deductions)

Mother's salary (before deductions)

Welfare payments

Tips

Investments

Relative's Contributions

Other (please specify)

                  Total Monthly Income
Monthly Expenses                                    Year 2006                            Year 2007
Taxes

Retirement

Parking

   House Payment            Rent

Utilities (power,gas,oil,water,phone)

Average Medical & Dental

Insurance (life,car,credit cards)

Installment Payments (car,credit card)

Loans (bank, educational)

Transportation gasoline

               Total Monthly Expenses

How much do you feel you could pay monthly towards your child's preschool education?

Signature:                                                                           Date:
Please return the following to BINKLEY PRESCHOOL, 1712 Willow Drive, Chapel Hill, NC 27514:
        1) registration application (with scholarship aaplication or previously submitted),
        2) scholarship application, and
        3) a copy of your latest tax return filed with the Internal Revenue Service.

  Binkley Preschool        1712 Willow Drive, Chapel Hill, NC 27514    968-1427        www.binkleypreschool.org

								
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