Program Financial Assistance Application - Kalamazoo Nature Center

Trails Open Daily 9am – 7:30pm

Trails Open Daily 9am – 7:30pm

The Kalamazoo Nature Center is open Monday, September 7 for Labor Day.

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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