Anytown 2023 Tuition Assistance Application

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Anytown
Dear Applicant,

We are so thrilled that you have decided to apply to be an Anytown student delegate! NCCJ works hard to ensure Anytown delegates include a diverse population. This includes socio-economic diversity. Please do not let this 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. We ask that you please only request what you truly need so that we can provide aid to everyone who needs assistance.

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).
You will be asked to provide one of the following as proof of household income:
  • Recent pay stubs (within the last two months)
  • Letters verifying unemployment status
  • Tax Information (2022 W-2 Forms)
  • Letters verifying assistance from Social Services
  • Letters verifying student received free or reduced lunch
Tuition assistance applications for the 2023 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 just want to better understand 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
If you are able, please provide one of the following as proof of household income by attaching it to this application below:
  • Recent pay stubs (within the last two months)
  • Letters verifying unemployment status
  • Tax Information (2022 W-2 Forms)
  • Letters verifying assistance from Social Services
  • Letters verifying student received free or reduced lunch
Signature


Tuition assistance applications for the 2023 Anytown season must be submitted to NCCJ as soon as possible. Your 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 Alison at ajones@nccjtriad.org
  • Fax documentation to (336) 272-1814
  • Mail documentation to 713 North Greene Street, Greensboro, NC 27401
Call Alison Whitman Jones at the NCCJ office at (336) 272-0359 x 130 to discuss any issues regarding documentation of income.

Should you have questions about this application and wish to speak with a Spanish speaker, please contact María Perdomo at (336) 272-0359 x 110.