Vincent Cordova Summer Scholars Program Need-Based Scholarship Application for Additional Summer Programming

This application is for Multicultural Summer Honors Program applicants seeking need-based financial assistance for before/after care and/or two supplemental afternoon classes. The names and tax documentation of both natural/adoptive/biological parents and their spouses and partners must be submitted by the January 24 deadline. Incomplete applications will not be considered.

You will be notified if need-based tuition assistance was approved for your child on the same date you receive a decision regarding their acceptance into the program.

Questions? Contact Emily Kienzle, Director of Tuition Assistance at 505-828-3352 or kienzle@aa.edu.

Student

First Name *

Last Name *

Current Grade Level: *

Date of Birth +

Current Elementary School *

Please check the box(es) of the optional summer program component(s) that you would like your child to participate in. *

Think Summer Before Care Program: 7:30 AM to 8:10 AM

Think Summer 6th Period Elective: 1:40 PM to 2:30 PM

Think Summer 7th Period Elective: 2:40 PM to 3:30 PM

Think Summer After Care Program: 3:30 PM to 5:00 PM

Parent/Guardian 1

First Name *

Middle Name

Last Name *

Email Address *

mobile phone

home phone

work phone

Address *

City *

State *

Zip Code *

Parent/Guardian 2

First Name *

Middle Name

Last Name *

Email Address *

mobile phone

home phone

work phone

Same address as above

Address *

City *

State *

Zip Code *

Family Information

Parents are *

married

separated

divorced

never married

Is this child currently eligible for free or reduced-price school lunch? *

Yes

Do you currently receive benefits from the Supplemental Nutrition Assistance Program (SNAP)? *

Yes

Do you receive child support for this child? *

Yes

Upload a copy of the first two pages of your 2023 1040 tax return. Black out all social security numbers listed on your tax return before uploading. *

If Parent/Guardian B filed 2023 taxes separately, please upload those here. Black out all social security numbers listed on your tax return before uploading.

Upload 2022 W2(s) or if self-employed 2023 Schedule C(s) for parents/guardians. Black out all social security numbers listed on your tax return before uploading. *

Summer Scholars Need-Based Scholarship Applications are CONFIDENTIAL

Once you submit this form, you will receive an email confirmation with your responses. Please keep a copy for your records.

Please print and sign your name below to verify that all of the information in this form is accurate and complete to the best of your knowledge.

This form must be submitted, and all documents must be uploaded by January 24, 2025.

Your Name *

Date * +

Signature *

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