Pathway Interest Form 2018-2019












Examples: My student has asthma and carries an inhaler. My student has a history of anxiety.
Student Demographics



Family Financial Statement
MetroSquash's mission is to serve Chicagoland students who need the program the most.  We therefore ask each family to provide financial information and include this metric in our selection criteria.  All information provided to MetroSquash is kept strictly confidential.

In the space below, please explain the status of your family’s finances. Information should include: yearly income and number of individuals in your household but can also include a description about parenting status, free/reduced lunch, financial government assistance, debt, or any other extenuating circumstances.



Family Financial Statement
MetroSquash's mission is to serve Chicagoland students who need the program the most.  We therefore ask each family to provide a copy of their most recent W2 in addition to the financial information below.  We will include this metric in our selection criteria.  Additional documentation may be requested.  All information provided to MetroSquash is kept strictly confidential.

In the space below, please explain the status of your family’s finances. Information should include: yearly income and number of individuals in your household but can also include a description about parenting status, free/reduced lunch, financial government assistance, debt, or any other extenuating circumstances.







Guardian 1 Information







Guardian 2 Information (if applicable)