Financial Aid Request Form

Hartford Children's Theatre
360 Farmington Avenue
Hartford, CT 06105
Phone: 860-249-7970
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Hartford Children's Theatre often receives funding to provide financial aid. If you'd like to be considered please complete the following form. Your application is accepted only when the form is complete and all additional attachments have been received. Fianancial aid is awarded based on the need of the family, and also the order in which the application was received.

If you are applying for Financial Aid, please do not fill out the registration form. After you receive notification on the status of your application, you may complete the registration form.

Bold fields are required.

Student's Information

First & Last Name
Date of Birth
Home Address
City/State
Zip
School
*Please note: The above information must represent the child's permanent/legal address.

Parent/Guardian 1

First & Last Name
Home Address
City/State
Zip
Home Phone (Format: ###-###-####)
Cell Phone (Format: ###-###-####)
Work Phone (Format: ###-###-####)
Employer
Job Title
Annual Salary
Email Address

Parent/Guardian 2

First & Last Name
Home Address
City/State
Zip
Home Phone (Format: ###-###-####)
Cell Phone (Format: ###-###-####)
Work Phone (Format: ###-###-####)
Employer
Job Title
Annual Salary

Household Information

Number of Adults
Number of Children
Annual Household Income
Check if household receives state aid
Check if household is headed by a single parent
If family has no income, explain the circumstances by which monthly expenses are met

Attachments

The documents requested below are required in order to verify eligibility. If you have the ability to scan your documents, the option to upload the file is provided below. Or you may mail hard copies to HCT at 360 Farmington Ave. Hartford, CT 06105
Please attach a brief letter by the student, in his/her own words, which indicate his area of interest and why he would like to attend our program (does not apply to students age 5 and under).
Upload student letter here
Please attach ONE of the following financial documents.
1.) Notification of monthly State/Federal Assistance
2.) Most Recent Federal Tax Return
3.) Pay Stubs (a minimum of 4 weeks)
Upload financial documentation here

Class Information

Please indicate the Session and Class you would prefer for your child
Session
Class
Day of the Week

Confirmation

The information I've provided is true and accurate to the best of my knowledge. I understand that if any of the given information is found inaccurate or misleading Financial Aid funding will be withdrawn and my child will be removed from the program.
I understand and agree.