Financial Aid Application                              
Financial Aid  is available due to the generosity of our donors. It is specifically for students who would not otherwise be able to afford to be tutored in reading at the Windy Row Learning Center.  At this time we are unable to offer financial assistance for summer tutoring.

Step 1: Fill out a Student Application for services at Windy Row Learning Center.
Step 2: Fill out this following Financial Aid Application completely.
Step 3: Submit a copy of your most recently completed IRS 1040 or 1040A to info@windyrow.org 
Step 4: We will notify you, in early summer 2022, of the amount of financial assistance we can offer your child.
Step 5: If we can offer adequate assistance, we will agree upon a deposit and payment schedule.

Sign in to Google to save your progress. Learn more
Email *
Today's Date *
MM
/
DD
/
YYYY
Email of the Parent/Guardian completing this form: *
Child's First Name: *
Child's last Name: *
Child's grade as of September 2022: *
Ages of dependents in your household: *
Parent/Guardian 1 First Name: *
Parent/Guardian 1 Last Name: *
Parent/Guardian 1 Phone Number: *
Parent/Guardian 1 Email: *
Parent/Guardian 1 Occupation: *
Parent/Guardian 1 Gross Annual Salary: *
Parent/Guardian 2 First Name: *
Parent/Guardian 2 Last Name: *
Parent/Guardian 2 Phone Number: *
Parent/Guardian 2 Email: *
Parent/Guardian 2 Occupation: *
Parent/Guardian 2 Gross Annual Salary: *
Please describe any other sources of income, including amounts (note whether monthly or annually received): *
What is your 2022 IRS Adjusted Gross Income (You must also send in a copy of your 1040 form, both forms if filing separately.) *
How much, if any, child support do you receive? *
How much outside support (from family or other sources) will you receive toward tutoring for your child? *
Do you own or rent your home? *
What is your monthly rent or mortgage and/or tax payment? *
Do you have any assets beside your primary residence, car, and/or retirement funds? If so, please describe type and amount: *
Are there any special circumstances you wish for us to consider?
What is the total  amount of Financial Assistance needed in order for your child to attend Windy Row Learning Center this school year.   YOU MUST ENTER A SPECIFIC DOLLAR AMOUNT.  (Note tuition is $3,500 for one school year.) *
By typing my name below, I assert that the information on this form is true and accurate to the best of my knowledge. I also acknowledge that financial aid comes from money raised specifically for children who could not otherwise afford to attend Windy Row Learning Center, and assert that I could not find a way for my child to attend without the requested financial assistance. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy