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Home
About Us
The Organization
The People
The GP Brand
Programs
ACHIEVE
After School
Athletics
Basketball
Clinics
Summer Basketball Clinics
Summer Volleyball Clinics
Dance
Softball
Track
Volleyball
BrainPower
First Place Leadership
Parent Resources
Team GP Rockin’ Covid-19
School Holidays
Summer Day Camp
Events
Amazing Give
Chicken Lunch
Hats, Hearts, & Handbags
Scramble for Kids
Swamp Chomp
Join Team GP
Employment
Volunteers
Payments
Donate
Donate
2021 SDC Financial Assistance
2021 SDC Financial Assistance
2021 Summer Day Camp Financial Assistance
A registration form must be completed and space secured in the program to be considered for financial assistance.
1. Each application MUST be accompanied by a 1040 tax form and two months pay stubs from the most previous tax year for ALL adults in the household. APPLICATIONS WILL NOT BE CONSIDERED WITHOUT THIS FORM BEING SENT TO THE GIRLS PLACE OFFICE BY April 30, 2021. You may bring the appropriate forms to the Girls Place office personally, a scanned copy may be emailed to lynn@girlsplace.net or a copy may be faxed to (352) 373-5550.
2. Need will be assessed by administrative staff based upon the responses to the questionnaire below.
3. An application will not be considered without EVERY question being answered and successfully securing a spot in the program.
Financial Assistance Details
1. Receipt of assistance does not entitle a member to full assistance. In most cases, when assistance is granted, parents will be responsible for some of the fees for the program. Please note a child receiving assistance from ELC, (Early Learning Coalition), will not be eligible for additional assistance from Girls Place.
2. The administrative staff and the economic status of Girls Place shall determine the amount of members assisted and the level of assistance.
3. Financial assistance is good for one program only. If you are granted any assistance, it WILL NOT roll over to the next program your child participates in. However, you may apply for financial assistance for each program.
Personal
Parent Name
*
First and Last Name
First Child's Name
*
First and Last Name
Date of Birth
*
Date Format: MM slash DD slash YYYY
mm/dd/yyyy
Current Grade
*
Grade in AUGUST 2021
*
School in AUGUST 2021
*
Second Child's Name (if applicable)
First and Last Name
Date of Birth
Date Format: MM slash DD slash YYYY
mm/dd/yyyy
Current Grade
*
Grade in AUGUST 2021
School in AUGUST 2021
Third Child's Name (if applicable)
Date of Birth
Date Format: MM slash DD slash YYYY
mm/dd/yyyy
Current Grade
*
Grade in AUGUST 2021
School in AUGUST 2021
Residence
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Home Phone
Cell Phone
Email address checked regularly
*
Number of adults (18 years old and up) living at above residence:
*
1
2
3
4
5
6+
Number of children (0-17 years old) living at above residence:
*
1
2
3
4
5
6+
Do any of the above residents have special needs?
Yes
No
If yes, please describe:
Finances
Amount of combined annual income for ALL adults at the above residence. This has to be verified with your 2020 1040 Form and two months of pay stubs.
*
Does your child qualify for the FREE or REDUCED lunch program at school?
*
Free
Reduced
None
I do not know
Describe any federal, state, or local assistance the family is currently receiving (i.e. Food Stamps, Medicaid, Early Learning Coalition, etc.). Please note that a child currently receiving assistance from ELC will not be eligible for additional assistance from Girls Place.
In addition, please write a brief statement describing why you feel your family is in need of financial assistance for one of our programs. Be sure to include a description of any financial constraints above and beyond the eligibility requirements.
*
By typing my full name below, I hereby agree to abide by the rules and regulations of Girls Place, Inc., as they relate to my application for financial aid:
*
Girls Place