Anytown 2021 Tuition Assistance Application

Anytown
Dear Tuition Assistance Applicant,

We are so thrilled that you have decided to apply to be an ANYTOWN delegate during the 2021 ANYTOWN season! NCCJ works hard to ensure ANYTOWN delegates include a diverse population. This includes socio-economic diversity. Please do not let the application or your need for assistance discourage you from applying for ANYTOWN. NCCJ will do our best to work with your family to cover the fees that you cannot. Please consider your tuition assistance request amount carefully, and only request what you truly need so that we can provide aid to everyone who needs assistance.

Prior to completing a tuition assistance application, please take a moment and closely review the contents of this letter. The letter provides precise information about eligibility requirements, income documentation, and the application process.

To be considered for tuition assistance, you must:
  • Submit an ANYTOWN delegate application
  • Complete this confidential tuition assistance form
  • Provide at least one source that confirms proof of household income (income documentation must be provided for every person listed on this application).
Our office will accept any of the following documentation as proof of household income:
  • Recent pay stubs (within the last two months)
  • Letters verifying unemployment status
  • Tax Information (2020 W-2 Forms)
  • Letters verifying assistance from Social Services
  • Letters verifying student received free or reduced lunch
Tuition assistance applications for the 2021 ANYTOWN season must be submitted to NCCJ as soon as possible. Your ANYTOWN application is not complete and your space is not reserved until NCCJ receives your tuition assistance application. Requests for tuition assistance are considered on a case-by-case basis.

All tuition assistance applicants will receive a statement from NCCJ indicating whether their request for tuition assistance has been accepted or declined.

If you have any questions, comments or concerns about any of the tuition assistance application process, please do not hesitate to contact NCCJ at 336-272-0359. We look forward to reviewing your application!

Instructions:
Please answer all questions below. If there are other compelling circumstances or important information that you feel would give us a more accurate and complete picture of your financial situation, please feel free to attach a letter to this application. If you have questions or need assistance completing this form, please call the NCCJ office at 336-272-0359.




Please answer the following questions to the best of your ability. There are no right or wrong answers. We would like to gain a better understanding of who you are and why you are committed to your ANYTOWN experience.


Parent/Guardian #1
(If income is listed, documentation must be provided)






example@example.com


Ex: $35,000
Parent/Guardian #2
(If income is listed, documentation must be provided)






example@example.com


Ex: $35,000
Other Income
Please identify any and all sources of additional income and support (ex. child support, other place of employment, alimony, disability, etc.)


Ex: $250


Ex: $250


Ex: $250
Tuition Assistance Request

Ex: $100, $500

Ex: $500, $150
Certifications
I agree to provide NCCJ with at least one form of documentation for each of my income sources as proof of my household income from the following sources:
  • Recent paystubs (within the last two months)
  • Letters verifying unemployment status
  • Tax information (2020 W-2 forms)
  • Letters verifying receipt from Social Services
  • Letters verifying student received free or reduced lunch
I certify that the information contained in this application is complete and accurate.

If the information contained in this applications changes before or during my child's time at ANYTOWN, I will notify NCCJ immediately.

I understand that providing false, incomplete, or misleading information may result in:
  • The loss of tuition assistance
  • Required repayment to NCCJ for any tuition assistance provided.


Tuition assistance applications for the 2021 ANYTOWN season must be submitted to NCCJ as soon as possible. Your ANYTOWN application is not complete and your space is not reserved until NCCJ receives your tuition assistance application. Requests for tuition assistance are considered on a case by case basis.

If you are unable to submit proof of income online with this application, please submit proof of income by doing one of the following:

  • Scan and email documentation to ajones@nccjtriad.org
  • Fax documentation to (336) 272-1814
  • Mail documentation to 713 North Greene Street, Greensboro, NC 27401
Call Alison Jones at the NCCJ office at (336) 272-0359 to discuss any issues regarding documentation of income.