Summer Tuition Assistance Apply by May 15, 2025 Summer Tuition Assistance Application Please complete a separate application for each student, however supporting documents only need to be uploaded once per family. We will email you the amount of tuition assistance that we can provide to your student as well as a payment schedule (applicants are asked to pay at least $50 toward tuition). Please wait for your assistance notification before making a tuition payment. You will not be charged a late fee for tuition due; award notices may arrive after the tuition due date.Student Name* First Last Date of Birth*MMMM123456789101112DDDD12345678910111213141516171819202122232425262728293031YYYYYYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*Choose optionBentonClackamasClarkColumbiaLincolnMarionMultnomahPolkSkamaniaTillamookWashingtonYamhillOtherPrimary Instrument*Secondary InstrumentName of School*2025-2026 school yearGrade 2025-2026 School Year*Choose optionOther1234567891011121314This field is hidden when viewing the formWhich of the following most accurately describes you?*FemaleMaleNon-binaryTransgenderNot listed (please state)I prefer not to sayGender Self DefinitionThis field is hidden when viewing the formEthnicity or RaceChoose optionAfrican AmericanAfricanArabAsianCaucasianEast IndianLatino or HispanicNative American or Alaska NativeNative Hawaiian/Other Pacific IslanderSlavicMulti-RacialNot listed (please state)Decline to answerEthnicity or Race Self DescriptionDo your family qualify for Free or Reduced Lunch?*Qualification is based on household income. Enrollment at a Title 1 school where this benefit is applied universally does not meet the requirement if household income qualifications are not met. Yes No Names of other family members in MYSParent/Guardian 1 Name* First Last Parent/Guardian 1 Email* Parent/Guardian 1 Phone*Parent/Guardian 1 Occupation*Parent/Guardian 1 Employer*Parent/Guardian 2 Name First Last Parent/Guardian 2 Email Parent/Guardian 2 PhoneParent/Guardian 2 OccupationParent/Guardian 2 EmployerFinancial InformationAnnual gross income from all sources*Total number in household*Ages of all children living at home, incl. applicant*How much can you contribute towards MYS tuition for this student ($50 minimum is requested)?*Please indicate the amount per student. For informational purposes only: Summer Program Tuition is $425. Upload the first 2 pages of your most recent tax return. Or, submit a Free or Reduced Lunch Eligibility Letter from the student’s school.If submitting tax forms and you filed a Schedule C, please also include the first page. Black out all social security numbers. (Only one document upload is required per family) Drop files here or Select files Accepted file types: doc, docx, pdf, jpg, gif, Max. file size: 64 MB. Please include any information and/or special circumstances we should consider when evaluating your application.Digital Signature*We certify that all information in this application is true and correct. I agreePhoneThis field is for validation purposes and should be left unchanged.
