Financial Aid - Performing Arts Academy

Program Applied for*

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Requested Amount of Assistance*

Student's Name*

First Last

Email*

Student's Date of Birth*

Student's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Day Phone*

Evening Phone*

Parent/ Legal Guardian*

First Last

Additional Parent/ Legal Guardian (If applicable)

First Last

Ethnic Demographic

(Information is used for grant reporting only and will not be included in registration)

In the student's own words: Please tell us why you want to take this program*

Please check all that apply*

Student is part of the Free Lunch program at School.
Student is part of the Reduced Lunch program at School.
Student is not in school or home schooled OR Student does not receive lunch assistance.

Total income from all sources to support household over the past 12 months*

Number of Adults in the household*

Number of Children in the Household*

I Verify*

that the information I have given is accurate and correct to the best of my knowledge. I agree to pay the balance of the program tuition after any financial aid is awarded. I also understand that students are expected to attend each program session and that I am responsible for the student's transportation to and from PAA.

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