Program Financial Assistance Application - Kalamazoo Nature Center

Trails Open Daily 9am – 7:30pm

The Kalamazoo Nature Center is closed Tuesday, August 18 for Staff Development.

Program Financial Assistance Application

Applicant Name

Email

Applicant will be notified by email of award decision

Phone Number

Address

Requesting aid for:

Camp

Nature’s Way Preschool

OtherOther

Number of people (dependents or other) living at listed residence

Annual Household Income (includes alimony, disability, etc.)

Parent/Guardian 1 Employer

Employer Phone

Parent/Guardian 2 Employer

Include only if Parent/Guardian 2 lives in same household as Parent/Guardian 1

Employer Phone

Number of Children Attending Program

Age(s) of Children Attending

Name(s) of Children Attending

Check if you receive any of the following:

FAP/SNAP

WIC

OtherOther

Attach photo(s) of income verification in the form of last year’s tax return summary, W-2, SSA benefit summary, FAP/SNAP or WIC documentation*, or other similar documentation.

Maximum file size: 134.22MB

* Please be sure to include first and last name on image of card. Black out social security numbers on documentation.

By signing below I agree that all information provided is complete and accurate to the best of my knowledge.

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