EmailMe Form - WBW Financial Assistance Application

WBW Financial Assistance Application

TO BE COMPLETED BY A PARENT/GUARDIAN (not the participating student).

The Foundation for Private Enterprise Education, also known as Washington Business Week, is a 501(c)(3) non-profit organization. Our goal is to ensure that every student is given the opportunity to attend our programs. Financial assistance is available to families who cannot afford the full $455 registration fee. It’s available on a first-come, first-served basis and is limited to one program per student, per summer. Funds are awarded according to a sliding fee scale in relation to family size, the total household income, and demonstrated extenuating circumstances. To request financial assistance, please completely fill out the information below. All financial assistance applications should be submitted as early as possible as funds are limited.

Please Note: This form uses ReCaptcha (TM) technology to keep your information safe and strictly confidential.
Additional information on our Financial Assistance program can be found at: http://www.wbw.org/Students_Cost.aspx#Financial
If you want to apply for Financial Assistance via mail or fax, you can download a fillable pdf at: http://www.wbw.org/pages/Documents/FA_Packet.pdf
CONTACT INFORMATION
Student Name *
First Last
Mailing Address *

Street Address City State / Province / Region Postal / Zip Code Country
Parent/Guardian Name *
First Last
Parent/Guardian Phone *
### - ### - ####
Parent/Guardian Cell
### - ### - ####
Parent Email *
REGISTRATION IN A BUSINESS WEEK PROGRAM
You should apply for financial assistance at the same time you are applying to attend one of our programs. No payment is due until you have been accepted into a program. All applications for financial assistance are treated with confidentiality. Participants who receive financial assistance are enrolled and included in the program with no regard to their financial status.
Registration *
An application for a WBW program has been submitted.
I will submit an application for a program within two days.

Register online at http://www.wbw.org/register.aspx
INFORMATION ABOUT FAMILY INCOME
Are you (parent) currently employed? *
Yes
No
If yes, where? and How long?
Is your spouse currently employed?
Yes
No
N/A
Total MONTHLY wages of all working adults in household (before taxes): *
$ Dollars
Other MONTHLY income (Child Support, Public Assistance, Unemployment, etc.) *
$ Dollars
Number of adults supported by this income: *
Number of dependents supported by this income: *
Does the student qualify for a school lunch program? *
Free / Reduced
No
Do you receive any of the following? (Select all that apply by holding down the CTRL key.) *
Extenuating Circumstances: (Select all that apply by holding down the CTRL key and describe your circumstances in the explanation section.) *
THIS EXPLANATION BY A PARENT IS REQUIRED –
MUST BE COMPLETED BY A PARENT (not the student):
Please explain why you would like to be considered for financial assistance, including any special financial circumstances or extraordinary monthly expenses as checked above. *
Based on your explanation above, how much of the $455 registration fee do you feel your family can PAY? *
$ Dollars
How much can you PAY? This amount cannot be guaranteed, but will help in our determination of your award. Families are expected to participate by paying a portion of the registration fee.
ACKNOWLEDGEMENT
I hereby acknowledge that all the included information is truthful and accurate to the best of my knowledge. I understand that falsification of any information regarding my financial status will disqualify my student from receiving financial assistance.
Acknowledged by Parent: *
First Last
Date *
MM / DD / YYYY

Please Note: This form uses ReCaptcha (TM) technology to keep your information safe and strictly confidential.

Additional information on our Financial Assistance program can be found at: http://www.wbw.org/Students_Cost.aspx#Financial

CONTACT INFORMATION

REGISTRATION IN A BUSINESS WEEK PROGRAM

INFORMATION ABOUT FAMILY INCOME

THIS EXPLANATION BY A PARENT IS REQUIRED –

ACKNOWLEDGEMENT

I hereby acknowledge that all the included information is truthful and accurate to the best of my knowledge. I understand that falsification of any information regarding my financial status will disqualify my student from receiving financial assistance.