Celtic Winter Gathering
Board & Administration
Tuition Assistance Form 2017/2018
All financial aid applications and agreements are kept strictly confidential. Once we receive this information, we will review it and make a determination.
If approved, we will send you a confirmation of acceptance and an agreement to be signed and returned to GMPA.
Work Phone Number
Address, City, State, Zip Code
Please provide us with the Name, Age, Date of Birth, and Grade of the student for whom you're seeking tuition assistance.
Please provide us with the Class Selection for this Student. This should include the Class Name, Day, Time and Location.
Annual Tuition Due:
Please explain your family's need for tuition assistance.
Please indicate the type of assistance you are seeking:
Full Year Tuition
Partial Year Tuition (Indicate how many months in comments below)
Reduced Monthly Rate (Indicate below how much per month you could comfortably contribute towards tuition)
Other (Elaborate below)
The Costume Fee and Registration Fee cannot be waived or reduced. If you are approved for financial assistance, we kindly require that in exchange, you will help at the events throughout the year that support the Taber Merchant Scholarship Fund. Please indicate which job(s) you will volunteer for.
Hang Posters Before Event
Event Set Up
Volunteer During Event
Event Clean Up
Baking for Event
What is your gender?
What category best describes your age?
Less than 18
65 or older
What best describes your employment status?
Not employed, looking for work
Not employed, not looking for work
Which of the following categories best describes the industry you work in?
Which category best describes your annual income?
Less than $10,000
$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
Greater than $100,000
Please summarize any materials (e.g., free and reduced lunch, recent layoff notice, recent medical bills, physician letter, etc.) that you feel will help document your need or unique circumstance, then email supporting materials to firstname.lastname@example.org with the subject line: Tuition Assistance Supporting Docs for (Student's Name).
The support provided by our donors makes classes possible for children regardless of financial barriers. Please share what makes GMPA programming special for your child. These personal stories help build our endowment and make affordable lessons a sustainable effort.
Green Mountain Performing Arts
37 Commercial Drive, Waterbury, VT 05676
At the intersection of Route 2 and Route 100