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2018 Tuition Assistance Appliation

The Eleanor Roosevelt Center at Val-Kill (ERVK) provides tuition assistance on a sliding scale based on family annual gross income. To utilize available funding most effectively, we are not able to assist with travel costs. To be considered for tuition assistance, please complete the tuition assistance application in it’s entirety and include a copy of your most recent combined family IRS tax return with the application. Tuition assistance applications must accompany your program application. Please note: Upon acceptance, all program participants must pay a non-refundable $200 deposit to hold their space in the program. Maximum assistance is $2,300. While ERVK strives to assist as many girls as possible, there are many ways an applicant can help to raise funds to support tuition, whether it be a small amount or the entire cost of the program. Please reach out with questions and see our Fundraising Tool-Kit for more creative ideas and help from our alum.

 

Application Components:

  • Completed Application 
  • Proof of Financial Need (W-9 or most recent IRS tax-return)
1. APPLICANT NAME:
*REQUIRED
First Name, Last Name
1. FAMILY GROSS INCOME:
FAMILY GROSS INCOME:
3. # OF PEOPLE (INCLUDING ADULTS) LIVING IN HOUSEHOLD:
4. Please list any types of State or Federal Aid received:
5. Occupation - Parent/Guardian 1:
5 a. Occupation - Parent/Guardian 2:

Please explain any other hardship or circumstance on why you are requesting tuition assistance for GLW tuition assistance on the lines below. 

Please enclose this completed financial aid form with your GLW program application.
Questions? Please don’t hesitate to contact us! Email: GLW@ervk.org or call 845-229-5302.

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