Financial Need, Tuition Assistance.

Helping Hand.

Making the Arts accessible to everyone is core to the Hub’s mission.

Tuition Assistance funds have been made possible by Parfreyville United Methodist Church and Rotary Club of Waupaca, and other generous donors from the Waupaca community.

Please read the Tuition Assistance Guidelines and Information before applying.

Applicant's Name

This is the adult applying for minor-age participants.

First Name

Last Name

Adult Email

Adult Phone

(000) 000-0000

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I'm apply for financial help with:

(Check all that apply)

Classes or Programs

Music Lessons

Minor-Age Participants

Please list all minor-age participants for whom tuition assistance is requested.

Does your family qualify for free/reduced lunch?

Yes

No

If your checked no above, please explain your need.

Electronic Signature

I understand that applying for tuition assistance does not guarantee financial help. All applications are kept confidential.

I have completed this form to the best of my knowledge.

Submission Date

MM

DD

YYYY