EmailMe Form - OLD - Financial Assistance Application

OLD - Financial Assistance Application

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

Washington Business Week and Alaska Business Week strive to make their programs available to as many students and families as possible. We welcome participation of youth without regard to race, gender, religion, disability or economic status. For those who qualify, there is limited financial assistance available through the generous contributions of community organizations, businesses and individual friends of Business Week.

Applications for Financial Assistance will be accepted until May 2nd at 5pm. Late and/or incomplete applications will not be considered for an award.

To request financial assistance, please completely fill out the information below and register for one of our programs. A $25 non-refundable deposit is due with your program registration. No additional payment is due until you have accepted your Financial Assistance Award (if applicable).

100% assistance is not awarded. It is our belief that some of the program tuition should be contributed by the applicant to provide a sense of commitment and responsibility towards attendance and participation in the program.

Please note that due to limited financial assistance funds, we are not able to guarantee awards for every applicant.

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 / Region
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. A $25 non-refundable deposit is due with your program registration. No additional payment is due until you have accepted your Financial Assistance Award (if applicable). 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 and the non-refundable $25 deposit for a program has been submitted.
I will submit an application and the non-refundable $25 deposit for a program within two days.
Register online at http://www.wbw.org/register.aspx
INFORMATION ABOUT FAMILY INCOME
How many HOUSEHOLD members are employed? *
Employer and Length of Employment
Self:
Spouse:
Student:
Other household members:
Monthly Income of the HOUSEHOLD
Please note that if your total household income is greater than $5,000 a month, you may not be eligible for financial assistance.
Total MONTHLY wages of all working HOUSEHOLD members (before taxes): *
$ Dollars
Other MONTHLY income (Child Support, Public Assistance, Unemployment, etc.) *
$ Dollars
Number of people in the HOUSEHOLD supported by this income: *
HOUSEHOLD Assistance
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
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 or GUARDIAN IS REQUIRED –
MUST BE COMPLETED BY A PARENT or GUARDIAN (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 selected above. *
ONCE WE RECEIVE YOUR APPLICATION:
Our Financial Assistance Committee will review your application to determine your financial assistance eligibility as funds become available. You will be contacted no later than May 9th regarding your financial assistance award. Please do not contact us about the status of your application for financial assistance unless you have not heard from us by phone or email by May 9th.

Those who receive a financial assistance award will be required to return an acceptance letter within two weeks of their award notification or their award offer will be rescinded.

Your portion of the program tuition will be due two weeks from your acceptance of your award. Please contact us by phone or email if you would like to set up a payment plan or make other payment arrangements after receiving notice of your financial assistance award.
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
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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

Employer and Length of Employment

Monthly Income of the HOUSEHOLD

HOUSEHOLD Assistance

Extenuating Circumstances

THIS EXPLANATION BY A PARENT or GUARDIAN IS REQUIRED –

ONCE WE RECEIVE YOUR APPLICATION:

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.

Print Application