FAll 2021 Mosaic Scholarship Application
Please fill out scholarship application for Fall 2021 school semester to start your process (Please feel free to reach out to Mosaic for any confusion/concern). Applications are due for the 1st round of consideration by September 7th. Mosaic accepts application on a rolling basis, however we cannot guarantee spots after the deadline.
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Child's First Name *
Child's Last Name *
Child's Grade as of Fall 2021 *
Parent/Caregiver's email *
Parent/Caregiver's first name: *
Parent/Caregiver's last name: *
Relationship to Child *
Parent/Caregiver contact phone number: *
The day/s you need Mosaic aftercare (check all that apply): *
Required
How many dependents are in your household?
Do you qualify for DOE's free and reduced lunch program (NYC DOE family income inquiry form)? *
Price per day you would be willing to pay for aftercare: *
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