Tuition Assistance Application

Tuition Assistance Program Application

Fall 2024 Season
Date*

MonthDayYear
Date
Parent #1 Name*

First NameLast Name
Parent #2 Name

First NameLast Name
Home Phone Number*
primary number for contact, even if it is a cell phone
Parent #1 Cell Phone
primary number for contact, even if it is a cell phone
Parent #2 Cell Phone
primary number for contact, even if it is a cell phone
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please fill out the information for the child(ren) that will be recieving assistance. Any additional details can be added at the end of the this form:*

	Child's Name	Age	Grade	Birthdate	Dance Experience
1
2
3

Number of children in the home under 19:*
Please note: Tuition Assistance is based on your total family income. All applicants are required to provide a copy of the previous year’s tax return(s) for each family member who contributes to the household income and lives in the home with the child. If you have a financially contributing parent who lives in a different home from another financially contributing parent (for example, an ex-partner who pays child support) they do not need to submit a tax return, but their monthly contributions should be noted under “Income Information” below. If you have a referral from a social services agency, you do not need to submit tax information.
Tax return information can be uploaded here or dropped off/mailed to: Creator's Arts Centre, #200-2237 Leckie Rd. Kelowna, BC. V1X 6Y5

Cancelof
Amount Applying For:*

$210 = Short Term Program Fall (trades 1hr/week for 13 weeks)$710 = One class a week (trades 2hrs/week for 36 weeks, 1:1 ratio for cleaning positions)$1420 = Two classes a week (trades 4hrs/week for 36 weeks,1:1 ratio for cleaning positions)$280 = Short Term Program Winter/Spring (trades 1hr/week for 17 weeks)
Place of Employment Parent #1*
Place of Employment Parent #2

Income Information- This is a reflection of your current situation, not the income reflected on last year’s tax forms.*

	Amount
Gross Employment Income
Partner/Spouse's Income
Social Assistance, EI, or Workman's Comp
Child Tax Credit (Monthly x 12)
Other (Spousal support, rental income, student loans)
Totaly Yearly Family Income

Additional Information (please let us know if there are additional circumstances affecting your income we should be aware of when reviewing your application):
I/We,name (s) certify that all of the above information is correct and I give Creator’s Arts Centre permission to verify any or all of the information provided. I also understand that it is my responsiblity to pay all additional fees in a timely matter (costumes, RAD, Impact, etc) and that Tuition Assistance only covers tuition.
Signature*

Clear
Volunteer Hours Trade Program At Creator’s Arts Centre we value and need the involvement and contribution of our dancers and their families. “Community” is one of the core values of CAC and we desire to build this into all our programs. In the Tuition Assistance Program, we achieve this goal by creating volunteer opportunities in several key areas for participating families. Regularly scheduled volunteer shifts are required by all families receiving Tuition Assistance. The maximum number of classes per child under our tuition/volunteer trading program is 2 per week which would require a 2hour per week volunteer commitment. If your dancer is ill and not attending class, volunteers are still required to attend their weekly shifts. If you do not complete all your volunteer hours, you will be charged $15/hr for the incompleted hours. Please indicate your top two choices of the following volunteer tasks. Indication of interest does not guarantee placement.

Weekly Janitorial; Cleaning the Studio (1-2hr per week)(must be available before 9am or after 9pm to clean while students are not here)Office Shifts/Administration (2hrs per week) **Priority will be given to applicants who are already I this role with at CAC or in place of employment. Must be willing to provide a Criminal record check. Volunteer's children will not be permitted in the office or unsupervised in the lobby during assigned shift.Facility Maintenance/Renovations (must be available weekends)Admin Runner (pick up and drop off for studio. Must have own car)
Please note that applications will be approved based on financial need. Families whose annual income falls on or below the poverty line will be given first priority.
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Tuition Assistance Program Application