Tuition Assistance Supplemental Form

Tuition Assistance Supplemental Form

                  The Gooden School


Please fill out the following form as a supplement to the SSS application. Send the completed form to school Business Manager Wendy Stockly by December 12, 2011 for current families and February 3, 2012 for prospective families. Submit your W-2 form/s by January 31, 2012.
 
If you have any questions, please call Wendy Stockly at (626) 355-2410 ext. 12 or e-mail at wstockly@goodenschool.org.
 

1. Please provide details regarding lessons, camps and summer school:

Name of Child:

Name of Camp/s 2011:
Total Cost
Summer School 2011:
Total Cost
Lessons (eg. tutoring, art, music, sports)
 
Type of lesson:

Frequency                        Cost
Type of lesson:

Frequency                        Cost
Type of lesson:

Frequency                        Cost

 
 

Name of Child:

Name of Camp/s 2011:
Total Cost
Summer School 2011:
Total Cost
Lessons (eg. tutoring, art, music, sports)
 
Type of lesson:

Frequency                        Cost
Type of lesson:

Frequency                        Cost
Type of lesson:

Frequency                        Cost

 
 

Name of Child:

Name of Camp/s 2011:
Total Cost
Summer School 2011:
Total Cost
Lessons (eg. tutoring, art, music, sports)
 
Type of lesson:

Frequency                        Cost
Type of lesson:

Frequency                        Cost
Type of lesson:

Frequency                        Cost

 
 
 

2. Please provide vacation details below:

 

Vacation Destination
Date/Duration

Total Cost
 
 
 
 
 
 
 
 
 
 
 
 
 

3. Please list any additional funds provided for your child/ren from other sources (e.g. grandparents, friends, relatives, trusts): 

 
 
 
 
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