2022 Tuition Assistance Request

2022 Tuition Assistance Request
Dimensions Education Programs offers sibling discounts and need-based tuition assistance. Based on the number of requests, we will work hard to meet the needs, but cannot guarantee that we can fund all requests. Your information will be kept confidential.

You will need your total household gross income information (earnings BEFORE deductions) to complete this form.
Your Name *

First Name Last Name
Email *
example@example.com
How many children do you have enrolled in Dimensions Education Programs? *
First Child *

First Name Last Name
Second Child *

First Name Last Name
Third Child *

First Name Last Name
Fourth Child *

First Name Last Name
Center Location *

A Street First-Plymouth

Title XX

We accept Title XX. If you qualify for Title XX, you must apply through ACCESSNebraska and select this option. To apply and/or find out if you qualify, call ACCESSNebraska at 1-800-383-4278 (toll-free) or 402-323-3900 (Lincoln) or 402-595-1258 (Omaha) or apply online at www.accessnebraska.ne.gov.

If you don't know if you qualify, please close this application and contact ACCESSNebraska. If, after contacting ACCESSNebraska, it is determined you do not qualify and you still need assistance, submit a new Tuition Assistance request.
I qualify for Title XX/Child Care Subsidy. *

Yes and my authorization covers all of my child's enrollment hours. Yes, but my authorization DOES NOT cover all of my child's enrollment hours and I need additional support. No, I do not qualify for Title XX.

Need-Based Assistance

Lincoln Littles and Dimensions Education Programs assistance are based on income guidelines and/or extenuating circumstances.

Dimensions Education Programs Assistance Qualifications
- Child is enrolled part-time or full-time.
- Family meets the Income Guidelines and/or has extenuating circumstances.
- Family does not qualify for Title XX.
The following discounts are available for those who qualify for Dimensions Education Progams Assistance:
- Monday-Friday: 20%
- Monday/Wednesday/Friday: 15%
- Tuesday/Thursday: 10%
Lincoln Littles Assistance Qualifications
- Children enrolled full-time: Monday-Friday, at least 8:30-3:30.
- Parents must be either working or attending school or, caregiver is incapacitated and unable to work or attend school, yet unable to care for the wellbeing of the child.
- Family meets the Income Guidelines.
- Family does not qualify for Title XX.
- Family is currently authorized for Title XX, but needs assistance with Family Fee or to cover any hours of enrollment authorization does not cover.
- Family does not meet income guidelines, but has documented unforeseen circumstances creating a severe hardship.
A family's Lincoln Littles discount will depend on the amount of applications we recieve and the amount Dimensions Education Programs is awarded.

Income Guidelines

Income Guidelines are one of the factors in determining Need-Based Assistance. You still may qualify even if you don't meet these guidelines.

Household Size (adults and children)	Annual Gross Income At or Below
1	$27,180
2	$36,620
3	$46,060
4	$55,500
5	$64,940
6	$74,380
7	$83,820
8	$93,260

Admin Note: Amounts in the table above are 200% (double) of the Federal Poverty Guidelines found here:

https://aspe.hhs.gov/poverty-guidelines

Need-Based Tuition Assistance
What is the TOTAL number of children under the age of 18 in your household? *
What is the TOTAL number of adults in your household who share income and expenses (related or not)? *
OTHER THAN PARENTS/GUARDIANS, how many of these adults receive income including any of the following: employment earnings, welfare, child support, alimony, pension, retirement, social security? *

Total Monthly Gross Income

For each of the categories below, please provide the MONTHLY gross income amount (amount before deductions) for each Income Earner.

To calculate your monthly income, you can use the following income calculator (it will open in a new window/tab).

Income Calculator

If you don't have income for a particular category, please enter zero (0).
Parent/Guardian Status (Parent 1) *
Parent/Guardian (Parent 1) *

First Name Last Name
Earnings (Parent 1) *
Gross earnings are BEFORE deductions
Welfare, Child Support, Alimony (Parent 1) *
Pensions, Retirement, Social Security (Parent 1) *
All Other Income (Parent 1) *
(Self-Employment, Tips, etc.)
Annual (Parent 1) *
Parent/Guardian Status (Parent 2) *
Parent/Guardian (Parent 2) *

First Name Last Name
Earnings (Parent 2) *
Gross earnings are BEFORE deductions
Welfare, Child Support, Alimony (Parent 2) *
Pensions, Retirement, Social Security (Parent 2) *
All Other Income (Parent 2) *
(Self-Employment, Tips, etc.)
Annual (Parent 2) *
Income Earner Name (Adult 1) *

First Name Last Name
Earnings (Adult 1) *
Gross earnings are BEFORE deductions
Welfare, Child Support, Alimony (Adult 1) *
Pensions, Retirement, Social Security (Adult 1) *
All Other Income (Adult 1) *
(Self-Employment, Tips, etc.)
Annual (Adult 1) *
Income Earner Name (Adult 2) *

First Name Last Name
Earnings (Adult 2) *
Gross earnings are BEFORE deductions
Welfare, Child Support, Alimony (Adult 2) *
Pensions, Retirement, Social Security (Adult 2) *
All Other Income (Adult 2) *
(Self-Employment, Tips, etc.)
Annual (Adult 2) *

Extenuating Circumstances

In order to determine your eligibility for tuition assistance, please provide information that will help us understand your needs. A detailed explanation of the extenuating circumstance/s that have created a hardship are key to our ability to award tuition assistance, particularly if you do not meet Income Guidelines.
Which of the following extenuating circumstances pertain to your family? (select all that apply) *

Physical/Mental Health Issues Family Situations COVID Related Circumstances Other
Physical/Mental Health Issues *
For example, past or current medical bills, time without employment, etc.
Family Situations *
Deployment, incarceration, etc.
COVID Related Circumstances *
Other *

Need-Based Assistance is available through Lincoln Littles and Dimensions Education Programs. In order to help us determine your eligibility, please provide the following additional information.

Tuition rates can be found at dimensionsed.org/programs/rates-and-application/.
One of the requirements to qualify for Lincoln Littles is a Title XX denial letter. Please upload your denial letter below or send it to admin@dimensionsed.org.
Attach your Title XX denial letter.

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