Chester County School of the Arts- Revival Productions
2022-2023 Financial Aid Application
Thank you for your interest in applying for income-driven tuition at CCSA!
Scholarships are provided on a first come, first serve basis. You will be asked to provide your most recent Form 1040 (2020 or 2021), two most recent pay stubs, and a photo ID. NOTE: All sensitive information is thoroughly secured. Yours and your child(ren)'s safety is of the utmost importance to us. If you have questions, please contact heathergrayberg@revival-productions.com or call 610-455-4300. Upon submission, you will receive an e-mail with 48 hrs. about next steps. Based on our scale, you will be locked into at tuition discount rate for one year from application.
PARENT/GUARDIAN
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Name(s) of all household members and ages (separated by comma, as such) i.e. Joe Smith (7), Judy Smith (9), Jane Smith (35), etc.
In which municipality do participant(s) reside?
Which ethnicities/race(s) do participants identify as? (This information does not change the outcome of scholarship. It is simply for grant reporting and to ensure that as an organization, we are fulfilling our dedication to diversity)-please check all that apply
American Indian/Alaska Native
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
Asian
White/Caucasian
Prefer Not to Answer
Other
Please submit your most recent FORM 1040 (2020 or 2021)
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Please submit two most recent pay stubs (can be photos/scanned images)
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Please submit a photo ID
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Agreement
All information provided is in the effort to obtain an income-driven financial aid at Revival Productions/Revival Performing Arts Conservatory. Upon contact from a Revival Productions representative. This is a "first come, first served" limited program. Filling out this form does not automatically grant you financial aid, but provides necessary information toward the next step. All tuition payments are non-refundable and discount (to family) is non- transferable for cash or reimbursement. Dollars can be used for other future programming in the event that the family resigns from a previously enrolled program. If the program is cancelled by Revival Productions, refunds will be issued to the parent for what they've paid and the subsidized amount returns to the scholarship fund. By e-signing, you agree to all of the above conditions and certify that all information provided is accurate to the best of your knowledge.
Signature
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