GTIP Tuition Assistance Application 2022-2023 Training Year

Tuition Assistance Application

2023-2024 Training Year
GTIP is commited to offering Tuition Assistance to individuals that would otherwise not be able to afford the Training Progam.

Please be mindful that GTIP has a limited amount of Tuition Assistance to award each year. Complete the application below as accurately as possible. The information you submit is confidential. A committee of Board members and faculty will review your application and make Tuition Assistance determinations by July 1.
Name*

First NameLast Name
Pronouns
Email*
example@example.com
Indicate your cohort:*

Class of 2024Class of 2025Class of 2026
Are you eligible for Tuition Reimbursement from your employer? If so, how much per year?*

$3,600-$4,500$2,700-$3,599$1,800-$2,699$900-$1,799$1-$899$0
For current trainees: Did you receive Tuition Reimbursement from your employer for the GTIP Training Program in 2021-2022? If so, how much?*
What is your Annual Federal Adjusted Gross income?*

$75,000 and up$60,000-$74,999$45,000-$59,999$30,000-$44,999$15,000-$29,999$0-$14,999
Do you receive financial support from anyone? If so, what is the annual amount you receive?*

More than $4,800$3,600-$4,799$2,400-$3,599$1,200-$2,399$1-$1,199$0
Do you have any other source of income not included above?*

Part time jobIncome from investmentsOtherN/A
If you checked any of the above, please elaborate with the type of income and annual amount. If you responded N/A, please write that in the box below:*
Do you have any dependents that you support?*

5 or more43210
Do you carry any debt OTHER than mortgage, school or car loan?*

$20,000 or more$15,000-$19,999$10,000-$14,999$5,000-$9,999$1-$4,999No
Do you have any student loans? If so what is the total amount you pay per year (or will need to begin paying per year)?*
Do you support loved ones (who are not dependents)? Please AVERAGE the annual amount you have contributed per year over the last two years.*

$4,000 or more$3,000-$3,999$2,000-$2,999$1,000-$1,999$1-$999$0
What are your annual health insurance costs (or if you don't have health insurance, please skip to the next question)? If you have a high deductible plan, please include that annual deductible amount in your answer.*

$10,000 or more$8,000-$9,999$6,000-$7,999$4,000-$5,999$2,000-$3,999$1-$1,999
Do you have extraordinary medical expenses for yourself or family members/loved ones? If so, how much per year do you contribute?*

$20,000 or more$15,000-$19,999$10,000-$14,999$5,000-$9,999$1-$4,999$0
Do you belong to any marginalized groups (please check all that apply)?*

POC (Person of Color)LGBTQDifferently abled (physically)Serious or persistent mental challengesOver 55ImmigrantOtherNone of the above
If you checked "other" above, please elaborate:
Do you identify as a member of the African Diaspora?*

YesNo
Please upload your 2021 and 2022 tax returns below. Please upload the ENTIRE return from both years and not just the cover pages:*

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Please upload TWO months (most recent) of bank statements for each account that you own: personal checking account and/or savings account. Please upload all pages of the statements and not just the cover sheets:*

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Please upload TWO months (most recent) of Business Checking and/or Business Savings Account statements below. Please upload all pages of the statements and not just the cover sheets:

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Please upload TWO months (most recent) of investment account statements below. Please upload all pages of the statements and not just cover sheets.

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Please upload TWO months (most recent) of Home Equity Line of Credit (HELOC) statements below. Please upload all pages of the statements and not just cover sheets.

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Is there anything else you would like us to know about you as we consider your application for Tuition Assistance?
By signing below, I certify the information stated here is true and accurate to the best of my knowledge. I agree to notify GTIP immediately if there is any change in my financial situation.*

Clear
If you have any questions, please email GTIP’s Operations Manager, Laura Henrich at laurah@gtip.org
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