Parent First and Last Name:

# of years homeschooling

# of years at the co-op

Will not receiving scholarship assistance prevent any of your children from participating?

First Child's Name

In which classes do you intend to enroll your first child?

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Second Child's Name

In which classes do you intend to enroll your second child?

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Third Child's Name

In which classes do intend to enroll your third child?

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How much are you able to contribute monthly towards tuition? 

How much are you able to contribute towards any applicable supply fees?

Are you able to cover the registration fee of $50/child?

If you attend a church regularly, please tell us where or indicate N/A.

If this is your first semester at GRCC, please indicate who or how you were referred to the program.For example: friend's name, FaceBook, Google Seartch etc. 

Please list all family members that live in the same household, their age, and their employer (if applicable).  Please include yourself and your children. 

Please list all extra-curricular activities your first child is involved in.

Please list all extra-curricular activities your second child is involved in. 

Please list all extra-curricular activities your third child is involved in. 

Please attach a letter from self (Word or PDF are preferred). Please tell why you are in need of financial assistance.