Scholarship Application

Holy Spirit Lutheran Preschool is able to offer a limited amount of tuition assistance to families based on financial need. To apply for a scholarship, please complete the online request form and include any pertinent comments.

The HSLC Preschool Leadership Team will review your application and make an award determination based on need, the number of requests, and the amount of scholarship money available. The maximum amount of award available is 25% of monthly tuition. All applicants will be notified whether or not their application is approved.

Student Name

First Name

Last Name

Parent/Guardian Name

Please include all parent/guardian names

First Name

Last Name

Telephone Number

Email Address

Household Information

Adult Names

Children's Names and Ages

Gross Income

Net Income

Amount Requested

Tell us a little about why your family is requesting financial assistance

Are there any special family circumstances (financial or other) of which the Holy Spirit Lutheran Preschool Leadership Team should be aware?

Are you currently or will you be receiving other forms of financial assistance?

Some examples might be WIC, SNAP, Working Connections, etc.

Your application will be reviewed by the Holy Spirit Lutheran Preschool Leadership Team, and you will be contacted with the determination. If needed, additional information may be requested. All of the information on this application is kept confidential.

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. (please type name below as signature)