SPPA Assistance Plan 2017-2018 School Year

It has been the goal of the Board of Directors to keep SPPA’s tuition affordable for all our families. In keeping with this philosophy, we are able to provide tuition assistance through the SPPA Assistance Plan. This assistance is available to all SPPA families who are responsible for payment of tuition.

In order to comply with State regulations, the attached document must be completed in order receive the tuition assistance. The SPPA Finance Committee may contact families to review the submitted form.

Each family has the option of indicating the Assistance they are applying for the 2016-17 school year. Please put the student’s name(s) on the appropriate line(s) in which you are requesting assistance.

Please check each appropriate box which applies to your family:

Please apply $1,960 from the SPPA Assistance Plan to my child’s tuition(s).

Students Name:

Please apply $1,560 from the SPPA Assistance Plan to my child’s tuition(s).

Students Name:

Please apply $1,000 from the SPPA Assistance Plan to my child’s tuition(s).

Students Name:

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(not to exceed $1,960)

Students Name:

We do not need to apply to the SPPA Assistance Plan for the 2016-2017 school year.

Name(s) *

Home Phone Number

- Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell Phone Number

- Area Code Phone Number

Current or Most Recent Employer Information (List for both you and spouse):
Name of Company or business: *

Contact Person

Phone Number

- Area Code Phone Number

Name of Company or business:

Contact Person

Phone Number

- Area Code Phone Number

Approx. Annual Household Income *

If currently unemployed *

You Spouse

Children's names & ages of only those who are currently living with you on a daily basis *

Are you willing to confidentially meet with a SPPA Finance committee who may ask other and personal financial questions? *

Yes No

Electronic Signature *

Please type your First and Last Name.

Date

/ Month / Day Year

PARENT/GUARDIAN SIGNATURE

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree that I give my permission to have the appropriate school personnel validate any of the above information.

Enter the message as it's shown *