FINANCIAL ASSISTANCE PROGRAM

 

Purpose:  To provide financial assistance to qualifying children in Norwalk to help pay tuition for our programs.

 

Guidelines:  Students in Norwalk School Districts only

                  Only two students per class on scholarship

                  Each student may only take one class

                  Recital fee, performance T-shirt, costumes, props and other merchandise needed are to be paid by parents.

      85% of participation in classes and events are required for eligibility.

 

Federal Income Chart

Household Size

Yearly

Income (Gross)

Monthly

Income (Gross)

Twice/Month

Income (Gross)

Every 2-weeks

Income (Gross)

Weekly

Income (Gross)

1

$18,889

1,575

788

727

364

2

25,327

2,111

1,056

975

488

3

31,765

2,648

1,324

1,222

611

4

38,203

3,184

1,592

1,470

735

5

44,641

3,721

1,861

1,717

859

6

51,079

4,257

2,129

1,965

983

7

57,517

4,794

2,397

2,213

1,107

8

63,955

5,330

2,665

2,460

1,230

Each additional person

+6,438

+537

+269

+248

+124

 

You must provide current pay stubs of wage earners in the household and last year’s tax return to verify income

   

Head of Household ____________________________________________        How many adults in Household are employed _________

 

Address __________________________________________________________________     Phone _____________________________

 

Employer _________________________________________________________________    Phone _____________________________

 

Employer’s Address ______________________________________________________________________________________________

 

2nd Wage Earner in Household ____________________________________________

 

Employer _________________________________________________________________    Phone _____________________________

 

Employer’s Address ______________________________________________________________________________________________

 

3rd Wage Earner in Household ____________________________________________

 

Employer _________________________________________________________________    Phone _____________________________

 

Employer’s Address ______________________________________________________________________________________________

 

Child’s Name ______________________________________                          Child’s Name ______________________________________