Scholarship '22 application

Montclair Film Financial Assistance Application

In an effort to provide access to media arts education and exposure to related professions for all, the Montclair Film provides financial assistance for qualified students in Grades 6-12.

Decisions are based on financial need and are determined on a rolling basis.

Students over 18 with extenuating circumstances will also be considered for financial assistance.

Please select the classes you'd like to apply for financial assistance:*

Student's Name:*

First Name

Last Name

Students Phone*

Student's Email*

School (If applicable)

Grade: (if applicable)

For Summer Academy, please enter grade going into in the fall.

Parent/Guardian Name (if student is under 18):

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Parent/Guardian E-mail (if student is under 18):

Parent/Guardian Phone:

Financial Information

All financial information will remain CONFIDENTIAL.

Total Annual Family Income REQUIRED*

Household Size REQUIRED *

Does your child qualify for reduced or free lunch?*

Yes No Not applicable

The information above is accurate and can be verified. I approve the above student's application to this program.

Parent/Guardian Signature*

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Use your mouse or finger to draw your signature above