Ruby Bridges Financial Assistance 2021- 2022
This form is to apply for financial assistance for the after school program at Ruby Bridges Elementary for the 2021 - 2022 school year. Please fill out this form completely so we can quickly process your information. This form does not confirm enrollment in the program. Your information will be reviewed and you will receive an email or a letter with your fee level and a code and then you will be able to enroll in the program through the Activity Hero enrollment platform.
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Parent/Guardian Name (First & Last) *
Email Address (if no email address please note that here) *
Mailing Address ( if no email)
How many children are you interested in enrolling in the Camp EDMO™ after school program? *
Please list the grade level for each child you would like to enroll in the program (Fall 2021). *
How much are you able to afford per month per child for this program? *
How many dependents do you have? *
Yearly Income (before taxes) *
Please provide any additional information about why you are in need of financial and any special circumstances we should take into consideration when reviewing your application.
We understand that income does not provide the entire story about the situation you and your family might be facing. We will do our best to provide financial aid for all who are in need of additional support to attend the program. We want to make sure we serve as many students in the program as possible but this program is subsidized by a grant provided from the state of California and there is a limit to the number of financial aid spots available. Please provide as much information as you are able to or comfortable providing so we can make the most thorough decisions possible.
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