Sliding Scale Application

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Please note all details entered are confidential and will never be shared. Your application will be processed within 48 hours of submission and a determination will be sent via email.

The following supporting documentation should be sent to ahomeschoolgroup@gmail.com upon completion of this application

- A copy of your 2022 or 2023 tax return or Two (2) pays stubs

- Proof of assistance (This can be a picture of your WIC card, letter from MA Health etc)

Please note that we keep all applicants and family situations in mind when making a determination. If you know you need assistance, please apply.

Name of Child/ren *

Name of Parent/Guardian Applying *

Email Address *

What is your Family Size?

Do you Receive any of the Following (Please Check all)

Food Stamps

Heating Assistance

Cash Assistance

Housing Assistance (section 8, raft, etc)

WIC

MA Health

SSI/Disability

Daycare Voucher

Other:

Gross Income *

0-$30,000

$30,001-$40,000

$40,001-$50,000

$50,001-$60,000

$60,001-$75,000

$75,001--$85,000

$85,001-$89,000

Above $89,000

Required

Anything you'd Like us to Know About Your Financial Situation?

Submit

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