GRASP Financial Assistance Form 2023
This form is for families applying for financial assistance for the GRASP Reading & Math K-8 Summer Program. Applicants who qualify will pay half the cost of the program: $49.50 (full price is $99) for one subject; or $74.50 (full price is $149) for one child taking both subjects.

1. Fill out this online form & submit no later than Monday, May 30th.
2. Applications will be reviewed & responded to from ees@nmc.edu within 2 weeks of submission.

**IMPORTANT** Respond to ees@nmc.edu email ASAP or by Friday, June 2, 2023 in order to receive the financial assistance (discounted price). This is also the registration deadline for the program.
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Email *
Is your child a participant in the Big Brothers Big Sisters program?
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Parent/Guardian Name *
Does your family already qualify for free or reduced lunch at school? *
Total annual family income including child support, ADC, etc. *
Total number of people in the household *
Number of dependent children in your family and their ages *
1st Student's Full Name *
2nd Student's Full Name (if applicable)
3rd Student's Full Name (if applicable)
Mailing Address *
Primary Phone Number *
Alternate Phone Number (if applicable)
For my 1st child I am applying for partial funding for: *
For my 2nd child I am applying for partial funding for:
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For my 3rd child I am applying for partial funding for:
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Are one or both parents currently unemployed? *
Is there something unique about your family's financial situation?
I am able to pay with a credit card no later than Friday, June 2, 2023 ($49.50 if doing one subject, $74.50 if one child is doing both subjects). The EES office will contact you within 2 weeks with details about your application for assistance. *
The information provided is accurate to the best of my knowledge (provide your initials as your signature). *
GRASP Reading & Math Summer Program
NMC Extended Educational Services  |  (231) 995-1700
Northwestern Michigan College  |  1701 E. Front St.  |  Traverse City, MI 49686
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