Mike Pero Mortgage Financial Snapshot

INFORMATION FORM FOR FINANCIAL ASSISTANCE CONSIDERATION

Thank you so much for taking time to fill out this form. We offer equitable access to all students and will help in any way we can. Please fill out this form completely and we will be back in contact with you to discuss options.
Name of person filling out this form. *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Best Phone Number *

Area Code Phone Number
Best Email Address *
example@example.com
Name of student you wish to enroll. If more than one, please add to the comment box below with their birthday *
Date of birth of student you wish to enroll. *

Day Month Year
Date
Are you a current Baldwin Music Education Center student? *
Have you ever been a student in the Baldwin Music Education Center programs? *
If yes, name of student who was in the program before.
Would You Like a Sliding Scale Tuition Option? *

Yes No
If You Would Like to Use the Sliding Scale Tuition Option - How much can you pay? Use exact dollar amount.
Are you willing to "barter" for class tuition? *

Yes No
If you are willing to "barter" for class tuition, please indicate areas of expertise you or someone else in student's life that might be considered for bartering skills.

Early Childhood Education Marketing and PR Communications Cleaning Services Accounting/Finance Non-profit Board Work Education "Handyman" Skills Social Media Guru Photography/Videography Culinary Arts
If you are interested in bartering - please tell us about your schedule

Morning hours available Afternoon hours available Saturday available Sunday available Evening hours available
Comments and other information that you feel is pertinent for consideration.
Should be Empty:

INFORMATION FORM FOR FINANCIAL ASSISTANCE CONSIDERATION