LLS Financial Aid App

The Lab Learning Space Financial Aid Application
The Lab is committed to making its classes available to children across Long Beach and surrounding areas. This said, we are a non-profit and operate on a narrow margin. We try to provide reduced fees to families who need them whenever possible. But we can only provide these to a limited number of families each semester. Approval for reduced fees is not guaranteed and we take lifestyle choices, savings and other factors into account when deciding on eligibility for reduced fees. Approval for reduced fees is by year. You may need to re-apply each year.
Type of Student

NewReturningBoth
Student Name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
Date
Student Name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
Date
Student Name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent #1 Name

First NameMiddle NameLast Name
Cell Number

Area CodePhone Number
Email
example@example.com
Parent #2 Name

First NameMiddle NameLast Name
Cell Number

Area CodePhone Number
Email
example@example.com
How many children do you currently have enrolled in classes at the Lab?
How many children are you requesting reduced class fees for?
How many of these children are currently enrolled in an independent study charter?
Name of charter:
What is the total amount of educational funding per child provided to you by the charter per year?
Describe the reasons/circumstances that are resulting in your need to request financial aid/reduced fees for Lab classes:
What is the annual income for your household?
How many people live in your household?
How many children live in your household who are below the age of 17?
Do you have a (check all that apply):

savings accountinvestment accountretirement accountreal estate other than your homeother source of funds beyond salary (alimony, family, etc)None of the above
I (We) certify that all of the information reported to qualify for financial aid is complete and correct. One parent whose information is reported on this form must sign.
Signature

Clear
Date

MonthDayYear
Date
You may need to provide copies of your two most recent tax returns and/or copies of your last 2 pay checks, upon request. Email to: bertha.leon@lablearning.org. When we receive your application and any documentation that is requested, we will contact you with approval.

Please email: bertha.leon@lablearning.org or MrT@lablearningspace.org for any questions.
Should be Empty:

The Lab Learning Space Financial Aid Application