Preschool Scholarship Assistance Form

Do you work at a preschool in the Tredyffrin/Easttown School District and know of a student who is in need of preschool tuition assistance? If so, FLITE may be able to help. Through our Preschool Tuition Assistance Program, FLITE works with a number of local preschools to make preschool affordable to families that meet certain financial criteria. For any questions, please email preschool@flite-pa.org.

Please complete the form below for consideration and we will get back to you!

Preschool Scholarship Assistance Form

Preschool Information

Your Name(Required)

First Last

Your Position at Preschool(Required)

Name of Preschool(Required)

Your Email Address(Required)

Your Phone Number(Required)

Address of Preschool(Required)

Street Address Address Line 2 City State ZIP Code

Student Information

Student's Name(Required)

First Last

Parent/Guardian Name(Required)

First Last

Parent/Guardian Address(Required)

Street Address Address Line 2 City State ZIP Code

Please provide a brief description of this student's needs and the reason behind your decision to request a scholarship for him/her.(Required)

Scholarship Assistance Information

Date by which student needs scholarship assistance(Required)

Month

Day

Year

School Year to be covered by scholarship(Required)

Number of days per week student will attend(Required)

1

2

3

4

5

Total tuition cost for this student(Required)

Total scholarship amount requested from FLITE(Required)

Will your preschool provide any additional financial assistance to this student?

Yes

No

Amount of additional financial support?(Required)

Acknowledgement & Submission

Funds Acknowledgement(Required)

I verify that the money provided by FLITE will go toward the tuition for the above-mentioned student only, and that no individual with decision-making authority at the preschool will personally benefit from the FLITE grant.

Refund Acknowledement(Required)

I verify that the money provided by FLITE will be refunded to FLITE should the student withdraw from your preschool program.

Need Acknowledgement(Required)

I verify that this student/family is in need of financial support, and would be unable to attend the preschool without the FLITE grant.

Resident Acknowledgement(Required)

I verify that this family resides in the Tredyffrin/Easttown School District.

Submission Acknowlegement(Required)

By submitting this form, I verify that I am a representative of the above-named preschool, authorized to submit this request, and submission serves as my electronic signature.

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