Dedham Public School Financial Aid Application

DPS Financial Aid Registration Form 2019-2020

Students eligible for free or reduced lunch are encouraged to apply. Any family may apply. Decisions will be based on proven need. and available funds.

* Indicates required field

Student Name *

First

Last

Choose One *

Male Female

D.O.B. (00/00/0000) *

School *

Grade *

Instrument *

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Number *

Cell Number *

Email *

Relationship to Student *

Do you have another child in this program? *

Yes No

If so, what is their name: *

Is there anything else you'd like us to know? *

Choose One *

I understand that the Dedham Public Schools will confirm my childs' eligibility for the free or reduced lunch programs. I would like to apply for financial assistance, but my child is not part of the free or reduced lunch program (please explain below).

I have read the above and understand the policies of the Dedham School of Music regarding withdrawals and cancellations. *

I Agree to the above

Please state the reason for your request: *

Submit

DPS Financial Aid Registration Form 2019-2020

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