Pathway Interest Form 2017-2018









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








Family Financial Statement
MetroSquash receives funding from Chicago’s Department of Family and Support Services which is dedicated to supporting services that enhance the lives of Chicago residents, particularly families in need. While we understand that financial information is sensitive, MetroSquash is asking each family to describe their financial situation so we can continue serving Chicago families in need. 

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. Your response will be kept confidential and not shared with anyone outside of the MetroSquash staff.



Guardian Information








The student and guardian must be there for the entire session.

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