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
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:
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