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Financial Aid Application

Dear Girls Inc. Families: 

We hope to provide affordable, quality programming for all girls. Please fill out the following financial aid application. 

Assistance is based on income, family size, and any special financial circumstances.

To request assistance, please fill out the following form, reporting all income sources and size of household. 

Additionally, please submit:

  • Proof of all income sources
  • Proof of size of household
  • Previous year’s tax return for each employed parent (1040 form from Taxes)
  • All other sources of income (government, social security, etc.)

Here are acceptable forms of financial proof.

The application process takes approximately two weeks and assistance is not guaranteed. Assistance is dependent on availability of current funds and semi-annual family income verification review.

All Information will be KEPT CONFIDENTIAL!

Please complete the following household information to the best of your ability. You must include income information of ALL household members.

With questions or concerns, please contact Kenia Sanchez, or call 508-755-6455. 

Please note: any field below with a red star (*) is required to submit this form. 

 
1 Start 2 Complete
$
The amount of wages, salaries, and tips collected by parent/guardian 1 each month.
$
The amount of wages, salaries, and tips collected by parent/guardian 1 each month.
$
The amount you receive from your 401K or retirement savings each month.
$
The amount received from Social Security, SSI, or SSDI each month.
$
The amount of child support you receive each month.
$
The amount you receive from any other income sources each month.
I understand that this is a needs-based assistance fund. I’m requesting financial assistance in sending my daughter/daughters to Girls Inc. of Worcester.
I certify that the above information is true and complete to the best of my knowledge. I have attached ALL the documentation that applies to my household income. I understand that the processing of this application may take up to two weeks upon which a Girls Inc. representative will contact me.
Financial Proof must be submitted with application: • Proof of all income sources • Previous year’s tax return for each employed parent (1040 form from Taxes) • All other sources of income (government, social security, etc.)
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx.
Financial Proof must be submitted with application: • Proof of all income sources • Previous year’s tax return for each employed parent (1040 form from Taxes) • All other sources of income (government, social security, etc.)
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx.
Proof of size of household
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx.