Revival Productions/Chester County School of the Arts
2023-2024 Financial Aid Application
Thank you for your interest in applying for income-driven tuition at RP/CCSA!
Scholarships are provided on a first come, first serve basis. You will be asked to provide your most recent Form 1040 (2021 or 2022), 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 taylorgustafson@revival-productions.com. Upon submission, you will receive an e-mail with 48 hrs. about next steps. Based on our scale, you will be locked into a tuition discount rate for one year from application.
PARENT/GUARDIAN
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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-
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.
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In which municipality do participant(s) reside?
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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.
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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 (2021 or 2022).
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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/Chester County School of the Arts, 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 towards 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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