Tuition Assistance Inquiry Form
As salaamu 'alaikum. Thank you for your interest in Al-Rahmah School. Please use this form to submit an inquiry about our Tuition Assistance programs. These programs may be able to cover all or a portion of you child's tuition, inshaAllah.
Sign in to Google to save your progress. Learn more
NAME of Parent/Guardian completing this form *
Please provide your FULL LEGAL name
Parent/Guardian Primary PHONE NUMBER *
XXX-XXX-XXXX
Parent/Guardian EMAIL ADDRESS *
Which SCHOOL YEAR are you inquiring about? *
What GRADE is your child in? *
Please check all that apply if you have multiple children.
Required
HOW MANY children are you looking to enroll? *
Your family may be eligible for sibling discounts.
What is your ANNUAL HOUSEHOLD INCOME? *
Please include all wage-earners in the home.
How many people live in your HOUSEHOLD? *
Does anyone in your household receive the following BENEFITS? *
Yes
No
SNAP/EBT (Food Stamps)
TCA (Temporary Cash Assistance)
WIC (Women Infants & Children)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Al-Rahmah School. Report Abuse
Google Forms