SHORENORTH�S APPLICATION FOR SCHOLARSHIP

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					                                               Shorenorth Cooperative Preschool
                                   APPLICATION FOR FINANCIAL ASSISTANCE

Instructions: Please fill out and return to the Director or Treasurer for board approval. Your identity will be kept confidential.

Quarter:                   Fall 2011-2012                       Application Deadline: September 16, 2011

Name:

Class(es):

I am applying for aid for the following months (check all that apply):

         Fall Quarter              Winter Quarter                                                      Spring Quarter
September October November December January       February                                       March      April               May


We ask that every member pay, at minimum, an amount to cover our Shoreline Community College quarterly tuition cost of $14 per
unit. This amounts to $14 per month for Groovers classes and $10 per month for all other classes for the 2011-2012 school year. We
cannot grant financial aid retroactively; you must apply during or prior to the month(s) for which you are seeking financial aid. Aid
is granted on an individual basis and is subject to the availability of funds.

I am able to pay the following:

Fees:
Registration: $55 ($70 for siblings)                            $                                 or     Already Paid (circle)

Monthly Tuition:                                                $

         Baby ‘n Me - $45                    Explorers: $60                       Toddlers: $60
         Movers: $90                         Groovers: $140

Please tell us why you are applying for aid.




Do you anticipate your situation changing in the near future?




Member’s Signature                                                                         Date


Board Use:        Amount of Aid Granted / Amount Member to Pay                             Date Approved

				
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