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Tuition Assistance Form

The Northwest Youth Theatre Tuition Assistance Program strives to make it possible for students from all economic circumstances to participate in our programs. Tuition Assistance is based on financial need. The following table is used as a guideline to calculate the reduced tuition for which families are eligible. Please include all sources of income, including wages, tips, alimony, child support, unemployment, etc. in figuring your income. If your income falls below the guidelines, you may request additional assistance:

Nbr. in Home

Annual Income

Assistance Available

2 $22,422

30%

3 $28,231

30%

4 $34,040

30%

5

$39,849

30%

 
Childs Name
Parent(s) Name
Address
City/St/Zip
E-Mail*      Phone #
Name of Program for Assistance

We realize that other factors besides income may contribute to a family's need for assistance.  If your child will be unable to participate without greater assistance than indicated on the chart, please use the space provided to explain your situation:

 
Total number in your household (including children)
Total tuition for the class requested
Percentage of tuition assistance for which you qualify
If you need more assistance, how much can you pay

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Please return this form to: 

    Northwest Youth Theatre 
    1667 SW Cherry Park Road 
    Troutdale, OR 97060